N62Remark Code (RARC)Active
N62 Remark Code - Dates of Service Span Multiple Rate Periods
The N62 remark code indicates that the billed services cover multiple rate periods. It is advising the biller to resubmit the claims as separate entries for each rate period involved.
How It Relates to the Denial
The N62 remark typically accompanies adjustment reason codes that indicate a denial or reduction based on billing errors related to rate periods. This combination signals that the claim submitted must be split to align with defined billing periods and rate structures.
Common Scenarios
1A provider submits a claim for services rendered from January 1 to January 15, but the payer's rate structure changes on January 10. The claim returns with an adjustment indicating it was not processed due to multiple rate periods.
→ In this case, the N62 remark code is telling the biller that the claim cannot be processed as submitted because it spans two different rate periods, and the payer expects separate claims for each period.
2A facility bills for a series of physical therapy sessions that occurred over a month, including dates that cross over into a new calendar year with differing reimbursement rates. The remittance shows an adjustment with the N62 remark code.
→ The N62 indicates that the facility must submit separate claims for the services rendered before and after the rate change, ensuring compliance with the payer’s billing requirements.
3A hospital submits a claim for a surgical procedure that took place over two days, with each day falling under different rate periods. The remittance advises with an adjustment and includes the N62 remark code.
→ Here, the N62 remark code clarifies that the two-day service must be billed as two distinct claims to match the payer's rate periods, preventing payment delays.
What to Do
- Resubmit the claim as separate entries for each applicable rate period.
What to Check
- The claim details to identify the dates of service and their corresponding rate periods.
- The payer's billing guidelines to confirm the requirement for separate claims.
- The remittance advice that includes the adjustment reason code associated with the N62 remark.