DENIAL CODES

Denial code N62

Remark code N62 indicates a claim spans multiple rate periods, requiring resubmission as separate claims for accurate processing.

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What is Denial Code N62

Remark code N62 indicates that the dates of service provided span across different rate periods, which affects the reimbursement process. The payer requires the healthcare provider to resubmit the claims as separate entities for each rate period to ensure accurate processing and payment.

Common Causes of RARC N62

Common causes of code N62 are billing for services that extend across different rate periods without splitting the claim into separate time frames, or failing to adhere to payer-specific billing requirements for services that span multiple rate periods. This often occurs when there is a change in fee schedules, contractual rates, or benefit structures that take effect during the course of the treatment or service dates. Providers must ensure that each claim reflects the appropriate rates for the specific dates of service within each distinct rate period.

Ways to Mitigate Denial Code N62

Ways to mitigate code N62 include closely monitoring rate period changes and ensuring that billing staff are aware of these changes. Implement a system to flag claims with service dates that may span different rate periods, and train your team to split these claims into separate submissions according to the specific rate periods. Additionally, use automated software that can detect and alert for rate period discrepancies before claims are submitted. Regularly review payer contracts and updates to stay informed about rate period schedules and adjust your billing processes accordingly.

How to Address Denial Code N62

The steps to address code N62 involve reviewing the dates of service on the original claim to identify the different rate periods that apply. Once these periods are determined, separate the services provided into individual claims based on the distinct rate periods. Ensure that each claim only includes services rendered within a single rate period. After segregating the services accordingly, resubmit the claims to the payer, making sure that each claim corresponds to one rate period only. It's important to double-check that all other claim details, such as procedure codes and units, are accurate and reflective of the services provided within each rate period before resubmission. This will help prevent further delays or denials due to rate period discrepancies.

CARCs Associated to RARC N62

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