New PQRS Remittance Advice Codes Effective July 1
Written by Editor   
Tuesday, June 24, 2014 04:55 PM

Providers participating in the Physician Quality Reporting System (PQRS) through claims-based reporting are reminded that effective July 1, 2014, your EOBs will contain updated Remittance Advice Remark Codes (RARCs) and all old codes will be deactivated on the same date.

Eligible professionals who bill PQRS G-codes with a $0.00 line item will receive the N620 code, which replaces the current N365 code. Also, eligible professionals who bill on a $0.01 QDC line item will receive the CO 246 N572 code. The new RARC code N620 will be your indication that the PQRS codes were received into the CMS National Claims History (NCH) database. The new RARC N572 with the Claim Adjustment Reason Code 246 (with Group Code CO or PR) indicates that the procedure is not payable unless non-payable reporting codes and appropriate modifiers are submitted.

For more information, please review the new CMS FAQ about the updated codes or contact ACA's Government Relations Department at Medicare@acatoday.org.