Remark code N134 indicates that the payment shown is the prearranged amount agreed upon for the provided service. If the service or treatment has been terminated, the healthcare provider should reach out to the Customer Service department for further assistance.
Common causes of code N134 are:
1. The payment amount reflected is part of a pre-arranged payment schedule agreed upon by the provider and the payer.
2. The service billed has been identified as one that is subject to a periodic payment plan, rather than a single payment.
3. The code may indicate that the payment issued is not for the full amount of the service, but rather a partial payment as per the terms of a payment schedule.
4. There may have been a discontinuation or modification in the treatment plan that has not been communicated to the payer, necessitating contact with customer service to update the payment schedule accordingly.
5. The use of this code could also suggest that the payer requires confirmation or acknowledgment from the provider that the scheduled treatment has been provided as planned before releasing further payments.
Ways to mitigate code N134 include implementing a robust tracking system for patient treatment schedules and ensuring that any changes or discontinuations in treatment are promptly communicated to the billing department. It's essential to have a process in place for regularly updating the status of patient treatments, so that claims reflect the most current information. Additionally, regular training for staff on the importance of accurate documentation and communication with customer service can help prevent this code from occurring. Establishing a direct line of communication between the clinical team and the billing department can also help ensure that any adjustments to treatment plans are quickly relayed, thus avoiding unnecessary scheduling payment alerts.
The steps to address code N134 involve confirming the status of the patient's treatment. If the treatment is ongoing, ensure that the payment schedule aligns with the treatment plan and that there are no discrepancies in the billing records. If the treatment has been discontinued, promptly contact the payer's customer service to update the treatment status and prevent future scheduled payments for services not rendered. Additionally, review the patient's account to make any necessary adjustments or refunds if an overpayment has occurred due to the discontinuation of services. It's important to document all communications and changes in the patient's billing records for accurate tracking and to avoid potential disputes or audits.