DENIAL CODES

Denial code N398

Remark code N398 is an alert indicating a claim's denial due to a missing elective consent form, requiring action.

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What is Denial Code N398

Remark code N398 is an indication that the claim has been processed but cannot be paid because the required elective consent form is missing from the documentation provided. This code suggests that for the claim to be reconsidered, the healthcare provider must submit the missing elective consent form as part of the claim documentation.

Common Causes of RARC N398

Common causes of code N398 (Missing elective consent form) are incomplete patient documentation at the time of service, failure to obtain or record the elective consent form in the patient's medical record before the procedure, and administrative errors in filing or coding the procedure documentation.

Ways to Mitigate Denial Code N398

Ways to mitigate code N398 include implementing a comprehensive checklist for all required documentation prior to patient procedures. Training staff to verify the presence of an elective consent form during the pre-procedure review process can also be effective. Utilizing electronic health records (EHR) to flag missing documents can ensure that the elective consent form is obtained and filed before the billing process begins. Additionally, establishing a protocol for immediate follow-up with patients or healthcare providers when documentation is missing can help prevent delays and the occurrence of this code.

How to Address Denial Code N398

The steps to address code N398 involve first verifying if the elective consent form was indeed obtained but not submitted with the claim. If the form is missing, promptly contact the patient to complete the necessary consent form. Ensure that the form is filled out accurately and completely, paying close attention to any specific details required for the procedure in question. Once the form is obtained, resubmit the claim with the consent form attached. It's also advisable to review internal processes to prevent similar issues in the future, such as implementing a checklist for claim submission that includes verification of all required documentation.

CARCs Associated to RARC N398

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