DENIAL CODES

Denial code N352

Remark code N352 alerts providers that no payments are scheduled for a service and advises submitting a claim for each patient visit.

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What is Denial Code N352

Remark code N352 indicates: Alert: There are no scheduled payments for this service. Submit a claim for each patient visit.

Common Causes of RARC N352

Common causes of code N352 (Alert: There are no scheduled payments for this service. Submit a claim for each patient visit.) are incorrect or missing billing for individual patient visits, failure to submit claims for each service date, or misunderstanding of payer's billing requirements for scheduled payments. This may also occur if the service provided is not covered under the patient's current insurance plan or if there is a lapse in the provider's understanding of the insurance contract terms regarding payment schedules.

Ways to Mitigate Denial Code N352

Ways to mitigate code N352 include implementing a robust claim submission process that ensures claims are submitted promptly after each patient visit. This involves training staff to accurately document services provided during each visit and to understand the importance of timely claim submission. Utilizing automated billing software can help streamline this process by flagging services that haven't been claimed and prompting for claim creation. Regular audits of patient visits versus claims submitted can also identify gaps in the submission process, allowing for corrective action to be taken. Establishing clear communication channels with the billing team to quickly resolve any discrepancies or questions regarding service documentation can further prevent this issue.

How to Address Denial Code N352

The steps to address code N352 involve a multi-faceted approach to ensure that future claims are processed efficiently and accurately. Firstly, review the claim submission process to confirm that each patient visit is being billed separately, as this code indicates a bundling issue where multiple visits may have been submitted together. Implement a system of checks to verify that each claim corresponds to a single visit, utilizing your electronic health record (EHR) system to track and manage these submissions effectively.

Next, conduct a thorough audit of recent claims to identify any patterns or recurring issues that may have led to the receipt of code N352. This could involve analyzing the billing codes used, the dates of service, and the frequency of visits for each patient to ensure that each claim accurately reflects an individual service date.

Additionally, engage with your billing and coding team to provide targeted training on the importance of submitting claims for each patient visit individually. This training should cover the correct procedure for claim submission, with a focus on avoiding the bundling of services that can lead to the receipt of code N352.

Finally, establish a direct line of communication with the payer to discuss the specific reasons behind the receipt of code N352 for your claims. This dialogue can provide valuable insights into the payer's expectations and requirements, allowing you to adjust your billing practices accordingly. By taking these proactive steps, you can address the underlying issues that led to the receipt of code N352 and improve the overall efficiency of your claim submission process.

CARCs Associated to RARC N352

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