Reason Code 7R046 - JE Part A
Browse by Topic
- Advance Beneficiary Notice of Noncoverage (ABN)
- Appeals
- Cardiac and Pulmonary Rehabilitation Programs
- Claims
- Compliance Program
- Dental
- Direct Data Entry (DDE)
- Documentation Requirements
- Drugs, Biologicals and Injections
- Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
- Electronic Data Interchange (EDI)
- Emergencies and Disasters (COVID-19)
- Fraud and Abuse
- Incentive Programs
- Medicare Secondary Payer (MSP)
- Modifiers
- Noridian Medicare Portal (NMP)
- Observation
- Overpayment and Recoupment
- Preventive Services
- Radiology and Radiation Oncology
- Remittance Advice (RA)
- Telehealth
- Wound Care
Reason Code 7R046
Reason Code Narrative
No response to a medical records request- This is a RAC determination
Common Reason Code Errors
- No response to a medical records request.
- Documentation requested was not received or was not received timely.
Common Reason Code Corrections
- Review your Recovery Auditor Contractor (RAC) findings letter and respond to medical records request timely.
- Review National Coverage Determination (NCD) and the Local Coverage Determination (LCD) as applicable.
- A Redetermination may be submitted if provider feels that sending in documentation will support need for service(s). The redetermination should include:
- All applicable supporting medical documentation
- Corrected UB-04 claim form
- Direct Data Entry (DDE) users can view remarks section for additional clarification.
Resources
- Remittance Advice Remark Codes
- Welcome to RAC Info! (cotiviti.com) -Review the ‘New Issues’ section.
Last Updated Mon, 17 Oct 2022 19:19:56 +0000