MA84Remark Code (RARC)Active
MA84 Remark Code - Emphysema Treatment Trial Participation
The MA84 remark code indicates that the patient was identified as participating in the National Emphysema Treatment Trial, but the payer's records show that the patient is either not a participant or has not been approved for the current phase of the study. This remark prompts the biller to verify the patient's participation status with the study coordinator at Johns Hopkins University.
How It Relates to the Denial
The MA84 remark code typically accompanies claim adjustment reason codes that pertain to denied or reduced payments based on eligibility for participation in the National Emphysema Treatment Trial. The combination of these codes signals that the claim is affected by the patient's status in the study.
Common Scenarios
1A claim for a pulmonary rehabilitation service was submitted for a patient believed to be participating in the National Emphysema Treatment Trial, but payment was denied.
→ In this case, the MA84 remark indicates that the payer does not have confirmation of the patient's participation or approval for the trial, which led to the denial.
2A provider billed for a diagnostic test related to the National Emphysema Treatment Trial for a patient, but the payment was reduced due to lack of verification of the patient's trial participation.
→ The MA84 remark suggests that the provider should check the patient's trial status, as it may affect the reimbursement for the billed services.
3A provider received a remittance for a claim related to the National Emphysema Treatment Trial, which included the MA84 remark indicating a discrepancy in patient participation records.
→ The MA84 remark prompts the provider to contact Johns Hopkins University to resolve any discrepancies regarding the patient's trial participation.
What to Do
- Contact Johns Hopkins University to verify the patient's participation status in the National Emphysema Treatment Trial.
- Ensure that all relevant documentation regarding the patient's enrollment is accurate and available for review if needed.
What to Check
- Verify the patient's enrollment status in the National Emphysema Treatment Trial with the study coordinator.
- Review the claim adjustment reason code accompanying the MA84 remark for further context on the payment adjustment.
- Check any prior correspondence or documentation that confirms the patient's participation in the study.