News: CMS issues new guidance on claims processing codes

CMS released updated guidance this month on new remittance advice remark codes (RARC) required for use following updated to the No Surprises Act independent dispute resolution process.

RARCs are standardized codes that convey information about claims processing. The guidance specifies circumstances in which group health plans and health insurance issuers offering instructions to facilitate usage.

CMS said that plans and issuers can continue to use claim adjustment reason codes they consider most appropriate for any claim adjustment. The RARCs specified apply for items and services furnished on or after Jan. 1, 2027.

Editor’s note: To read the full guidance, click here. To read additional coverage from the American Hospital Association, click here.