RFI #
1830
AMT*KH and CARC B4
Description
CARC B4 (Late filing penalty) and Amount Qualifier Code KH (Late Filing Reduction) appear to represent the same amount and would be required in exactly the same circumstances. Is this true? If so, why is the redundant AMT segment required for late filing penalties? If not so, what is the distiction between the two amounts?
RFI Response
The AMT segment is to carry the actual amount of the Penalty but the CARC B4 is to automate the posting of data to allow a providers system to automatically apply the data based on the CARC/RARC combinations received. These two would most likely be used together, but there may be other CARC/RARC combination associated with this adjustment.