How To Fix Remark Code M852 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code N652 means that the date of service is before the date of loss. This code is used to indicate that the services provided occurred prior to the occurrence of the event or condition that led to the need for those services. It is important for medical coders to understand this code in order to accurately process claims and ensure proper reimbursement.

1. Description

Remark Code N652 indicates that the date of service is before the date of loss. This means that the services were provided prior to the occurrence of the event or condition that necessitated those services. The official description of this code is: ‘The date of service is before the date of loss.’ It is crucial to identify this discrepancy in order to avoid claim denials or adjustments.

2. Common Reasons

1. Incorrect coding of the date of service: This can occur due to human error or oversight when entering the date into the system.
2. Delayed reporting of the event or condition: If there is a significant delay in reporting the event or condition that led to the need for services, it can result in the date of service being before the date of loss.
3. Incorrect documentation of the date of loss: If the date of loss is not accurately documented, it can lead to discrepancies between the date of service and the date of loss.

3. Next Steps

1. Review the documentation: Carefully examine the medical records and any supporting documentation to ensure that the date of service aligns with the date of loss.
2. Verify the accuracy of the dates: Double-check the dates entered into the system to ensure that they are correct and match the documentation.
3. Coordinate with the healthcare provider: If there is a discrepancy between the date of service and the date of loss, reach out to the healthcare provider to clarify and obtain any necessary corrections or additional information.

4. How To Avoid It

1. Ensure accurate documentation: Properly document the date of loss and any relevant events or conditions to avoid discrepancies.
2. Double-check coding: Take the time to review and verify the accuracy of the coding, including the date of service, before submitting claims.
3. Implement quality control measures: Establish processes and checks to catch any errors or discrepancies in the dates of service and loss.

5. Example Cases

1. Case 1: A claim is denied because the date of service is recorded as two weeks before the date of loss, highlighting the importance of accurate documentation and coding.
2. Case 2: A claim adjustment occurs due to a discrepancy between the date of service and the date of loss, emphasizing the need for thorough review and verification of dates.

Source: Remittance Advice Remark Codes