DENIAL CODES

Denial code N64

Remark code N64 indicates that a claim's 'from' and 'to' dates of service must not be the same for processing.

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What is Denial Code N64

Remark code N64 indicates that the claim has been flagged because the 'from' and 'to' dates of service provided are identical. For proper processing, these dates must reflect a range and therefore should be different. This code suggests that the claim may need to be corrected and resubmitted with distinct 'from' and 'to' dates if the services were rendered over a period of time.

Common Causes of RARC N64

Common causes of code N64 are:

1. The 'from' date of service is identical to the 'to' date of service on a claim that requires distinct dates to reflect a range of service days.

2. A billing error where the date range was not properly entered, possibly due to a clerical mistake or misunderstanding of the billing requirements for the specific service.

3. Incorrect claim form completion, where the date fields were populated with the same date inadvertently.

4. Misinterpretation of the billing guidelines for services that span multiple days, leading to the submission of a claim with matching 'from' and 'to' dates when different dates were necessary.

5. Automated billing system errors that may have defaulted to the same date for both fields without proper validation checks.

6. Failure to update the claim form to reflect a change in the actual service dates, such as when a service initially scheduled for a single day extends to multiple days.

7. Inadequate staff training or oversight, resulting in a lack of awareness about the importance of entering distinct dates for certain types of claims.

Ways to Mitigate Denial Code N64

Ways to mitigate code N64 include ensuring that the 'from' and 'to' dates on claims are accurately recorded and reflect the actual span of service provided. It is important to double-check that these dates are not mistakenly entered as the same day unless the service is genuinely a single-day event. Implementing a system of pre-submission checks can help catch these errors. Additionally, staff training on proper date entry and the importance of accurate date spans in billing can reduce the occurrence of this error. Regular audits of claim data can also help identify patterns that lead to this issue, allowing for corrective action before claims are submitted.

How to Address Denial Code N64

The steps to address code N64 involve verifying the accuracy of the claim submission. First, review the claim to ensure that the 'from' and 'to' dates of service are correctly entered and reflect the actual dates when services were provided. If the dates are the same due to an error, correct the dates and resubmit the claim. If the services were indeed provided on the same day, ensure that the billing format supports same-day service billing, and if necessary, adjust the claim to meet the payer's requirements for same-day services. Once the necessary corrections are made, resubmit the claim for processing.

CARCs Associated to RARC N64

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