DENIAL CODES

Denial code N391

Remark code N391 indicates a claim denial due to missing emergency department records, requiring submission for processing.

Accelerate your revenue cycle

Boost patient experience and your bottom line by automating patient cost estimates, payer underpayment detection, and contract optimization in one place.

Get a Demo

What is Denial Code N391

Remark code N391 indicates that the claim has been processed but cannot be finalized because it lacks the necessary emergency department records. This documentation is required to support the services billed and must be provided for the claim to be fully adjudicated.

Common Causes of RARC N391

Common causes of code N391 are incomplete documentation submission, failure to include emergency department records with the claim, and clerical errors in handling or attaching the necessary emergency department documentation.

Ways to Mitigate Denial Code N391

Ways to mitigate code N391 include implementing a robust electronic health record (EHR) system that automatically flags any emergency department (ED) visits lacking complete documentation. Establish a protocol for ED staff to review and complete records before the patient's discharge. Additionally, conduct regular training sessions for ED personnel on the importance of thorough documentation and the impact of missing information on revenue cycle management. Utilize automated reminders for staff to complete documentation and perform periodic audits to ensure compliance and identify areas for improvement.

How to Address Denial Code N391

The steps to address code N391 involve a multi-faceted approach to ensure the necessary emergency department records are obtained and accurately linked to the patient's claim. Initially, contact the emergency department to request the missing records, ensuring to specify the date of service and patient information to expedite retrieval. Upon receipt, review the documents for completeness and relevance to the claim in question. If the records are complete, update the patient's file and resubmit the claim with the newly obtained documentation attached. In cases where the records are not immediately available or further clarification is needed, it may be beneficial to coordinate with the patient or their representative to facilitate communication with the emergency department. Additionally, implement a system for tracking these requests to ensure timely follow-up and resolution. This proactive approach not only addresses code N391 but also strengthens the overall accuracy and efficiency of the billing process.

CARCs Associated to RARC N391

Improve your financial performance while providing a more transparent patient experience

Full Page Background