M141Remark Code (RARC)Active
M141 Remark Code - Missing Physician Certified Plan of Care
The M141 remark code indicates that a physician certified plan of care is missing for the billed service. This remark supplements an adjustment that has already been described by the accompanying reason code, pointing out a specific documentation requirement that was not met.
How It Relates to the Denial
The M141 remark code typically accompanies adjustment reason codes related to documentation issues or lack of medical necessity. The combination signals that while the claim has been adjusted, further documentation is needed to support the billed services.
Common Scenarios
1A physical therapy claim was submitted for multiple sessions, but the remittance shows an adjustment indicating non-coverage due to lack of documentation.
→ The M141 remark code suggests that the payer requires a physician certified plan of care to justify the therapy services provided.
2A claim for home health services was denied, and the remittance included an adjustment for insufficient documentation along with the M141 remark.
→ This indicates that the payer is looking for a certified plan of care from the physician to substantiate the home health services billed.
3A skilled nursing facility submitted a claim for patient care, but received a payment reduction with the M141 remark indicating missing documentation.
→ The M141 remark is pointing out that the necessary physician certified plan of care was not included with the claim submission.
What to Do
- Obtain and submit the physician certified plan of care for the service in question.
- Ensure that the plan of care is properly signed and dated by the physician to meet payer requirements.
- If resubmitting, include a cover letter explaining the additional documentation.
What to Check
- Review the claim submission to confirm if the physician certified plan of care was included.
- Check the patient's medical record for the existence of a certified plan of care.
- Look for any specific documentation requirements outlined in the payer's policy.