Edit 01328

Nurse Units Exceeds 24 Hours

HIPAA Claim Adjustment Reason Code: 16
    Remark Code: M53
HIPAA Healthcare Claim Status Code: 476
    Entity Identifier Code: N/A

Potential Causes:
The Total Number of Hours paid for this patient, for this date, exceeds 24 hours.

Solution:
Check the number of hours billed to ensure the correct number of hours was entered. Call Provider Services if additional assistance is needed. Enter the data in the loop and the segment provided, and resubmit.