Remarks/notes should be formatted as shown below without the parenthetical explanation (this is not an exhaustive list) and a narrative explanation after the word “because”. Reopenings that require “Good Cause” to be documented must have a Remark/Note from the provider.R1 = 4 yr Initial Determination (from Remittance Advice date).(For DDE claims only) An “Adjustment Reason Code” from the reopening subset below on claim page 3 (MAP1713).A provider cannot reopen a bill and appeal the same bill simultaneously. When a provider uses this code they are attesting that they are reopening a bill already sent to the Medicare program and that there is no Appeal in Process. A Condition Code W2=Duplicate of an original bill.
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