DENIAL CODES

Denial code N335

Remark code N335 indicates a claim issue due to a missing, incomplete, or invalid referral date, requiring correction.

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What is Denial Code N335

Remark code N335 is an indication that the claim has been processed with an issue related to the referral date; specifically, the referral date is either missing, incomplete, or invalid. This requires the healthcare provider to review and correct the referral date information on the claim before resubmission.

Common Causes of RARC N335

Common causes of code N335 (Missing/incomplete/invalid referral date) are:

1. The referral form submitted with the claim does not have a date of referral.

2. The date of referral on the form is incomplete, such as missing the month, day, or year.

3. The referral date entered is incorrect or does not match the date in the patient's medical record or the insurer's system.

4. The referral date provided is not within the required timeframe for the service billed.

5. The electronic claim submission has an error or omission in the field designated for the referral date.

6. The referral date format does not comply with the insurer's specified format (e.g., MM/DD/YYYY vs. DD/MM/YYYY).

7. The claim was submitted without the necessary referral documentation attached, leading to the assumption of a missing referral date.

Ways to Mitigate Denial Code N335

Ways to mitigate code N335 include ensuring that all referral documentation is thoroughly reviewed for completeness before submission. Implement a checklist for staff that covers all required information, including referral dates, to be completed for each referral. Utilize electronic health record (EHR) systems with built-in alerts to flag missing or incomplete information, specifically targeting referral dates. Regular training sessions for staff on the importance of accurate and complete documentation can also help reduce the occurrence of this issue. Additionally, consider establishing a verification process where a second set of eyes reviews referrals specifically for common errors like missing referral dates before they are submitted.

How to Address Denial Code N335

The steps to address code N335 involve several targeted actions to rectify the issue of a missing, incomplete, or invalid referral date. First, review the patient's file and any communication from the referring provider to locate the correct referral date. If the referral date is not found or is unclear, reach out directly to the referring provider's office to obtain the accurate referral date. Ensure that all communication is documented thoroughly in the patient's file for future reference.

Next, update the patient's records and the claim with the correct referral date. It's crucial to double-check that the date is entered accurately and in the correct format to prevent further issues. After updating the records, resubmit the claim with the corrected information as promptly as possible to minimize delays in processing.

Additionally, use this occurrence as an opportunity to review and possibly update your intake and documentation processes. Implementing a checklist for verifying the completeness and accuracy of referral information at the time of patient intake can help prevent similar issues in the future. Training staff on the importance of capturing complete referral details and regularly reviewing referral documentation practices can also enhance the accuracy of submitted claims and reduce the likelihood of receiving code N335 again.

CARCs Associated to RARC N335

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