DENIAL CODES

Denial code N312

Remark code N312 indicates a claim issue due to a missing, incomplete, or invalid begin therapy date, requiring correction.

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What is Denial Code N312

Remark code N312 indicates that the claim has been flagged due to a missing, incomplete, or invalid begin therapy date. This means that the documentation provided with the claim does not properly specify the date when therapy services began, which is necessary for processing the claim.

Common Causes of RARC N312

Common causes of code N312 (Missing/incomplete/invalid begin therapy date) are:

1. The therapy start date was not included in the claim submission.

2. The format of the therapy start date does not meet the payer's requirements (e.g., MM/DD/YYYY vs. DD/MM/YYYY).

3. The therapy start date provided is illogical or impossible (e.g., a future date or a date that predates the patient's birth).

4. The claim was submitted without verifying that the therapy start date aligns with the dates of service for which reimbursement is being sought.

5. Incorrect or incomplete electronic data interchange (EDI) mapping led to the omission or corruption of the therapy start date during claim transmission.

6. The therapy start date was entered into an incorrect field or section of the claim form, leading to its omission during the payer's processing.

7. The documentation supporting the therapy services (e.g., physician's order, therapy plan) was not properly attached or referenced, leading to questions about the validity of the therapy start date.

Ways to Mitigate Denial Code N312

Ways to mitigate code N312 include ensuring that all therapy documentation is thoroughly reviewed for completeness before submission. Implement a checklist for all therapy claims that specifically includes verification of the begin therapy date. Utilize electronic health records (EHR) systems that prompt for mandatory fields, including the begin therapy date, to be filled before allowing the claim to proceed. Regularly train staff on the importance of accurate and complete documentation, emphasizing the begin therapy date's role in claim acceptance. Additionally, conduct periodic audits of therapy claims to identify and rectify any recurring issues with documentation completeness, including the begin therapy date.

How to Address Denial Code N312

The steps to address code N312 involve a multi-faceted approach to ensure the completeness and accuracy of therapy date information. Firstly, review the patient's medical records and therapy documentation to verify the actual begin therapy date. If the date is indeed missing or incorrect, promptly update the patient's file with the correct information. Next, resubmit the claim with the corrected begin therapy date, ensuring that all other related dates and information on the claim are consistent and accurate. It's also advisable to implement a double-check system for future claims to catch similar errors before submission. This could involve a checklist for common data points, including therapy dates, that must be verified before claim submission. Additionally, consider training or retraining staff on the importance of accurate and complete documentation, focusing on common areas of error such as therapy dates.

CARCs Associated to RARC N312

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