M22Remark Code (RARC)Active
M22 Remark Code - Missing/Incomplete Mileage
The M22 remark code indicates that the claim contains a missing, incomplete, or invalid number of miles traveled. This remark supplements the adjustment detailed by the accompanying reason code, clarifying that the distance information is insufficient or incorrect for processing purposes.
How It Relates to the Denial
The M22 remark typically accompanies reason codes that relate to transportation services, where mileage is a critical component for reimbursement. The combination signals that the claim was adjusted due to issues specifically with the reported mileage.
Common Scenarios
1A claim for non-emergency medical transportation was submitted, but the remittance returned with an adjustment indicating a reduction due to mileage issues.
→ The M22 remark suggests that the number of miles reported for the transportation service is either missing or does not meet the payer's required standards.
2A patient was billed for a home health visit, and the claim included mileage for travel, but the remittance statement reflected a denial citing incomplete travel information.
→ The M22 remark alerts the biller that the travel distance data is inadequate, necessitating a review and correction before resubmission.
3A claim for ambulance services included a mileage claim, yet the remittance advised of an adjustment due to mileage discrepancies.
→ With the M22 remark present, the biller should understand that the mileage reported was either not provided or was incorrectly calculated, impacting payment.
What to Do
- Review the claim to ensure the mileage is accurately reported and complete.
- Correct any inaccuracies in the number of miles traveled before resubmitting the claim.
- If the mileage was omitted, gather the necessary documentation to support the correct mileage for the service provided.
What to Check
- The claim form submitted for the number of miles traveled.
- Any supporting documentation related to the mileage, such as a trip log or mileage calculator.
- The payer's guidelines on mileage requirements for transportation services.