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  • Using CARC, RARC and CAGC Rule According To CMS Protocol
  • Post author
    Lacy Gaskins

Using CARC, RARC and CAGC Rule According To CMS Protocol

The Centers for Medicare & Medicaid Services (CMS) requests Medicare Administrative Contractors (MACs) use Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule according to CMS protocols provided in the transmittal.

Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3841CP.pdf

Subject: Implement Operating Rules -Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule -Update from Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE)

Number: 3841

Title: 10140

Release Date: August 18, 2017

Effective Date: January 1, 2018

Implementation Date: January 2, 2018

Special Notes: N/A

 

 

  • Post author
    Lacy Gaskins