Remark code N28 indicates that the services billed were not accompanied by the necessary consent forms as required by the payer's policies or by regulatory requirements. To address this issue, the healthcare provider must ensure that the appropriate consent forms are completed, signed, and submitted according to the payer's guidelines to facilitate claim processing and reimbursement.
Common causes of code N28 are:
1. The patient consent form was not completed properly or was missing required information.
2. The consent form was not submitted with the claim or was not received by the payer.
3. The consent form is outdated or expired, necessitating a new form to be completed and submitted.
4. There is a discrepancy between the services provided and the services authorized on the consent form.
5. The consent form was not signed by the patient or the patient's authorized representative.
6. The specific payer has unique consent form requirements that were not met or understood by the provider's office.
7. Electronic submission issues, such as incorrect attachment of the consent form to the claim file.
8. The consent form was not retained for the required time period or was not accessible upon request for audit purposes.
Ways to mitigate code N28 include implementing a robust patient intake process that ensures all necessary consent forms are provided, explained, and signed before services are rendered. Staff training should emphasize the importance of obtaining and verifying completed consent forms, and regular audits should be conducted to ensure compliance. Additionally, utilizing electronic health records (EHR) with integrated consent management features can help track and confirm that all required consents are in place. It's also beneficial to have a clear, standardized procedure for handling and storing consent forms to prevent any documentation oversights.
The steps to address code N28 involve reviewing the patient's file to ensure that the correct consent forms have been obtained and are fully completed. If the forms are missing or incomplete, reach out to the patient to secure the necessary documentation. Once the appropriate consents are in place, resubmit the claim with the updated information. Additionally, implement a process to verify that consent forms are collected and verified before services are rendered in the future to prevent this issue from recurring.