DENIAL CODES

Denial code M99

Remark code M99 indicates a claim issue due to a missing, incomplete, or invalid Universal Product Number/Serial Number.

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What is Denial Code M99

Remark code M99 indicates that there is an issue with the Universal Product Number or Serial Number provided in the claim. It is either missing, incomplete, or invalid. This code alerts the healthcare provider that they need to correct the product or serial number information to ensure proper claim processing and reimbursement.

Common Causes of RARC M99

Common causes of code M99 are typically related to issues with the identification of products or services provided during patient care. These can include:

1. The Universal Product Number (UPN) or Serial Number was not included on the claim submission, which is necessary for certain products or procedures.

2. The UPN or Serial Number provided on the claim is incomplete, meaning some required segments or characters are missing.

3. The UPN or Serial Number entered is invalid, which could be due to a data entry error or using outdated or incorrect numbers.

4. The documentation submitted with the claim does not match the UPN or Serial Number listed, leading to a discrepancy that must be resolved.

5. The product or service associated with the UPN or Serial Number is not covered under the patient's current insurance plan, and therefore the information is flagged as invalid.

6. The claim form may have been filled out incorrectly, with the UPN or Serial Number placed in the wrong field or formatted improperly.

7. There may be a mismatch between the UPN or Serial Number and the Healthcare Common Procedure Coding System (HCPCS) or Current Procedural Terminology (CPT) codes, which can cause confusion and result in the code being issued.

Addressing these issues typically involves verifying the accuracy of the UPN or Serial Number, ensuring proper documentation, and correcting any claim form errors before resubmission.

Ways to Mitigate Denial Code M99

Ways to mitigate code M99 include implementing a robust inventory management system that tracks and verifies Universal Product Numbers (UPNs) and Serial Numbers for all medical products and devices used in patient care. Ensure that your billing software is integrated with this system to automatically populate these numbers on claims. Regularly train staff on the importance of capturing accurate product information and conduct periodic audits to ensure compliance with documentation standards. Establish a protocol for double-checking the UPNs and Serial Numbers before finalizing claims to reduce the likelihood of errors.

How to Address Denial Code M99

The steps to address code M99 involve a thorough review of the claim to identify the missing or incorrect information. Begin by cross-referencing the item or service provided with the correct Universal Product Number (UPN) or Serial Number. Ensure that this number is accurately documented in the patient's medical records and on the claim form. If the UPN or Serial Number is missing, obtain it from the product's packaging or documentation, or by contacting the manufacturer if necessary. Once the correct information is gathered, update the claim with the valid UPN or Serial Number and resubmit it to the payer. It's also advisable to implement a double-check system for future claims to prevent similar errors, which may include additional staff training or claim processing software updates to flag missing UPNs or Serial Numbers before submission.

CARCs Associated to RARC M99

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