B14Denial Code (CARC)Active
CARC B14 Denial Code - Understanding & Resolving
Code B14 indicates that the payer will only reimburse for one visit or consultation per physician per day. If multiple visits or consultations from the same physician are billed for the same day, only one will be covered.
Who Pays: Group Code Liability
For code B14, the group code is typically CO, meaning the provider must write off the charge for the additional visits and cannot bill the patient.
Why Claims Get Code B14
- Billing multiple consultations by the same physician on the same day.
- Submitting claims for follow-up visits that occurred on the same day as an initial visit.
- Incorrectly coding separate visits that occurred on the same day.
- Failing to combine services that should be billed as a single encounter.
How to Fix & Resubmit
- Review the patient's records to confirm if multiple visits were billed on the same day by the same physician.
- Check the coding to ensure that services provided on the same day are correctly combined into a single visit or consultation charge.
- Verify whether the services provided should be considered distinct and separate encounters according to payer policy.
- If the claim was incorrectly submitted, prepare a corrected claim that reflects only one visit or consultation.
- Contact the payer for clarification if the services are believed to be separate and distinct.
Corrected Claim or Appeal?
For code B14, submit a corrected claim if multiple visits were mistakenly billed. Appeal only if distinct services were provided and meet payer criteria for multiple same-day visits.
Preventing Future B14 Denials
- Train billing staff on payer policies regarding same-day visit coverage limits.
- Ensure accurate coding by combining same-day services into a single visit charge when applicable.
- Implement a review step for daily encounter coding to prevent duplicate billing.
- Educate providers on documentation practices for same-day visits to support claims.