How To Fix Remark Code M970 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code N772 means that urgent/emergent and ancillary services need to be rebilled separately. This code is used to alert healthcare providers and insurance companies that these services were not billed correctly and need to be resubmitted separately.

1. Description

Remark Code N772 indicates that urgent/emergent and ancillary services were not billed separately. The official description states: ‘Alert: Rebill urgent/emergent and ancillary services separately.’ This remark code serves as a reminder to healthcare providers to ensure that these services are billed correctly to avoid claim denials or adjustments.

2. Common Reasons

1. Failure to separate urgent/emergent and ancillary services: This may occur due to oversight or lack of understanding of the billing requirements for these services.

3. Next Steps

1. Identify the urgent/emergent and ancillary services: Review the services provided and determine which ones fall under these categories.
2. Rebill the services separately: Create separate claims for the urgent/emergent services and the ancillary services to ensure accurate billing.
3. Ensure proper coding and documentation: Verify that the correct codes are used and that the documentation supports the services provided.

4. How To Avoid It

1. Understand the billing requirements: Familiarize yourself with the guidelines for billing urgent/emergent and ancillary services separately.
2. Implement proper coding practices: Ensure that the correct codes are used to accurately represent the services provided.
3. Review claims before submission: Double-check the claims to ensure that urgent/emergent and ancillary services are billed separately.

5. Example Cases

1. Case 1: A claim is denied because urgent/emergent and ancillary services were billed together, highlighting the importance of separate billing.
2. Case 2: A claim adjustment occurs because the coding for urgent/emergent and ancillary services was incorrect, emphasizing the need for accurate coding.

Source: Remittance Advice Remark Codes