megasor1013
New
I am fairly new to the audit world and I could use some guidance regarding a training topic that came up recently.
When posting remits, is it okay to change the reason code listed on the remittance to a higher specificity to match the remark code? For example, we receive a processing with a reason code of CO16 (very generic) but on the EDI report/remittance/phone call it is stating the issue is due to an incorrect place of service so we update the reason code to CO5.
Changing to the higher reason code allows for better trend tracking when pulling reports. From an audit standpoint could this scenario get messy. Any guidance would be appreciated.
When posting remits, is it okay to change the reason code listed on the remittance to a higher specificity to match the remark code? For example, we receive a processing with a reason code of CO16 (very generic) but on the EDI report/remittance/phone call it is stating the issue is due to an incorrect place of service so we update the reason code to CO5.
Changing to the higher reason code allows for better trend tracking when pulling reports. From an audit standpoint could this scenario get messy. Any guidance would be appreciated.