Advanced Practice Registered Nurse (APRN) Claim Denials
September 24, 2012
APRNs had claims that were denied in error for the following reasons:
- MIHMS Edit 330- Invalid diagnosis for benefit
- CARC 11 - The diagnosis is inconsistent with the procedure
- RARC M64 - Missing/incomplete/invalid other diagnosis
This issue has been resolved and all affected claims will be re-processed. Providers do not need to re-submit these claims.