Online Safety Community

A Claim Adjustment Reason Code (CARC) is a code used in medical billing to communicate a change or an adjustment in payment. CARCs have to be used to communicate why there was a difference between the amount paid in a claim or service line and the amount that was billed against it. CARCS are to be mentioned only if there is an adjustment of this kind. If there is no adjustment to a claim or service line, then there is no need to use a CARC.

Further to the CARC is the RARC, or the Remittance Advice Remark Code, which is used for providing extra explanation and information about CARCs when they have already been used. This additional information usually relates to information regarding remittance processing.

Understanding RARCs further

To explain RARCs further, RARCs are of two types: Supplemental and informational. Most RARCs are supplemental, since they are merely needed to explain an adjustment already done by CARCs. Informational RARCs, on the other hand, are in the form of alerts, because of which they come with the red lettered, bolded word “Alert”. These alerts are of a general nature and are used to convey important information about the processing of the remittance, and are not related to a specific RARC adjustment.

 Because of the nature of these two codes, it is necessary for healthcare providers to get a thorough understanding of the way they work. If there is a claim denial because of lack of proper understanding and application of the codes; it results in nonpayment, which affects the cash flow. Stifling of this cash flow can in turn affect the players in the healthcare industry, especially the smaller ones. Additional resources will be required to set the claim denials right. When there is a delay in setting the claim denials right; precious time may be lost to the extent that the healthcare provider may lose the chance to go on appeal. This will result in permanent denial of the claim.

Getting RARCs and CARCs right is essential to avoid problems in billing

The solution to avoiding such situations is to arm oneself with full and clear knowledge of the way RARCs and CARCs work and to learn how to identify denials and get a grasp of the impact of RARCs and CARCs on denials.

This is the content of a webinar that is being organized by MentorHealth, a leading provider of professional trainings for the healthcare industry. At this session, Gail Madison Brown, a registered nurse and an attorney with over 25 years of experience in healthcare, will be the speaker. To get proper insights into how CARCs and RARCs work, and to understand the ways of avoiding the costly impacts of their improper use; Read More :  http://www.mentorhealth.com/control/w_product/~product_id=800966LIV...

The core aim of this webinar is to help participants learn how to identify denials, understand the codes which affect their denials, and to ultimately help them to establish effective and efficient processes for managing, monitoring and preventing denials.  Compliance, Audit, Billing, Coding and Operations professionals will find this course highly useful and valuable.

Gail will cover the following areas at this webinar on RARCs and CARCs:

  • Identify and understand denials
  • Effectively manage denials
  • Monitoring of denials
  • Methods to prevent future denials
  • Addressing and appealing denials.

Views: 30

Comment

You need to be a member of Online Safety Community to add comments!

Join Online Safety Community

Take our poll!

Take our poll!

Latest Activity

Russel Stuart posted an event
Thumbnail

Time Management at Online evnt

October 5, 2017 from 10am to 11am
The TrainHR webinar is approved by HRCI and SHRM Recertification Provider.Overview: Everyone gets the same amount of hours in a day, week, month and year. So, why is it that some people get so much more done than others? Time can be one of the most elusive resources a business owner and/or manager have. You may have a system for running all the other aspects of your business. But, are you managing your time efficiently and effectively?What is Time Management? Time Management refers to managing…See More
16 hours ago
Madison Quinn posted a discussion

QlikView 12.10 Service Release 8 and QlikView Governance Dashboard 2.0.4 now available

Hello all,Qlik announced that QlikView 12.10 Service Release 8 [SR8] is now available on Qlik download site.   SR8 is a relatively small service release and includes 7 bug fixes - you can find details of the fixes in the attached release notes.Also Qlik announced that QlikView Governance Dashboard 2.0.4 is available on Qlik download site. This release contains a few key bug fixes which are detailed in the attached release…See More
yesterday
John Robinson posted blog posts
yesterday
rodriguezcecelia posted an event

ITIL Training Seattle, WA at Regus, Seattle

August 30, 2017 at 9am to August 31, 2017 at 5pm
Welcome to MSys Training, North America’s leading training provider. Read some of our reviews on www.trustpilot.com. MSys’ ITIL Foundation® program includes:Course instruction by Lead ITIL instructorsAXELOS® approved course material2 Simulation testsCase studies, webinars and instructor feedback16 PDU certificate100% pass guarantee Visit www.msystraining.com, call 408-878-3078 or…See More
yesterday

Forum

QlikView 12.10 Service Release 8 and QlikView Governance Dashboard 2.0.4 now available

Hello all,Qlik announced that QlikView 12.10 Service Release 8 [SR8] is now available on Qlik download site.   SR8 is a…Continue

Started by Madison Quinn yesterday.

PMP Certification Boot Camp Los Angeles

Welcome to MSys Training, North America’s leading training provider. Read some of our reviews on www.trustpilot.com. MSys’ PMP® program…Continue

Tags: PMP

Started by rodriguezcecelia yesterday.

Safety - A Prerequisite 11 Replies

Whether working at home or outside, to observe safety should be our pre-requisite. The employer before anything must be sure of the safety of its employees especially the ones working in mines or any…Continue

Tags: products, safety

Started by Enna Henry. Last reply by Tara safe Aug 16.

Lean Six Sigma Black Belt Training in New York City

Welcome to MSys Training! We thank you for visiting MSys LSSBB training page. Attend our 4 days Lean Six Sigma Black Belt (LSSBB) training program with 100% pass rate, high quality course material,…Continue

Tags: sigma, six

Started by rodriguezcecelia Aug 11.

ITIL Certification Training - MSysTraining

The ITIL® Foundation is an entry level qualification in Information Technology industry. It gives participants information about the key elements, terminologies and concepts used in the ITIL Service…Continue

Tags: itil

Started by rodriguezcecelia Aug 8.

Badge

Loading…

© 2017   Created by Safety Community.   Powered by

Badges  |  Report an Issue  |  Terms of Service