Denial code N552

Remark code N552 is an adjustment notice reversing a prior withhold or bonus, impacting your payment balance.

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 N552

Remark code N552 is an indication that the payment has been adjusted to reverse a previous withhold or bonus amount that had been applied.

Common Causes of RARC N552

Common causes of code N552 are errors in the initial payment calculation, adjustments due to audit findings, incorrect application of withhold or bonus amounts, and updates to contract terms that affect withhold or bonus calculations.

Ways to Mitigate Denial Code N552

Ways to mitigate code N552 include implementing a robust tracking system for all withhold and bonus amounts to ensure accuracy in initial reporting. Regular audits of payments and adjustments can help identify discrepancies early. Training staff on the specific criteria and conditions for withholdings and bonuses can prevent misunderstandings and errors. Establishing clear communication channels with payers can also facilitate the resolution of any issues that may lead to an adjustment, allowing for proactive management of finances. Additionally, leveraging technology to automate the reconciliation process can reduce the risk of human error and improve the efficiency of financial operations.

How to Address Denial Code N552

The steps to address code N552 involve a detailed review and reconciliation process. Initially, it's crucial to verify the accuracy of the adjustment by comparing the current statement with previous statements to identify the specific withhold or bonus amount being reversed. If the adjustment appears to be incorrect, gather all relevant documentation, including the original claim, payment notices, and any correspondence related to the withhold or bonus. Next, prepare a detailed explanation or appeal, if necessary, highlighting the discrepancy and providing evidence to support the original payment amount. Submit this documentation to the payer, following their guidelines for appeals or disputes. Keep a close record of all communications and monitor the situation closely until it is resolved, ensuring that any corrected payment is accurately reflected in your financial records.

CARCs Associated to RARC N552

Get paid in full by bringing clarity to your revenue cycle

Full Page Background