DENIAL CODES

Denial code N656

Remark code N656 indicates an interest payment due to benefits paid beyond the statutory requirement.

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What is Denial Code N656

Remark code N656 indicates that an interest payment is being made in addition to the benefits because the benefits are being disbursed later than the legally required timeframe.

Common Causes of RARC N656

Common causes of code N656 are delays in claims processing beyond the stipulated time frame, errors in initial claim submission leading to reprocessing, and administrative inefficiencies within the payer's operations.

Ways to Mitigate Denial Code N656

Ways to mitigate code N656 include implementing a more efficient claims processing system to ensure timely payments. Regular training for billing staff on updates to statutory requirements and deadlines can help avoid delays. Additionally, adopting automated reminders for upcoming deadlines and utilizing predictive analytics to forecast potential delays in claims processing can prevent this issue. Regular audits of claims processing times against statutory requirements can also identify areas for improvement to avoid interest payments.

How to Address Denial Code N656

The steps to address code N656 involve a multi-faceted approach focusing on both immediate resolution and long-term prevention. Initially, ensure that the interest payment mentioned is correctly calculated and applied to the account in question. This may require coordination with the finance department to verify the amount and ensure it aligns with the delay period. Next, conduct a thorough audit of the claim to identify the root cause of the delay in benefits payment. This could involve reviewing processing times, checking for any errors in claim submission, and assessing internal workflows for efficiency gaps.

Once the cause is identified, implement corrective measures to prevent recurrence. This might include staff training on timely claim submission practices, updating software to flag claims nearing statutory deadlines, or revising internal policies to prioritize claims close to the statutory deadline. Additionally, maintain open communication with the payer to discuss the delay, the steps taken to address it, and any adjustments in processes to prevent future occurrences. Regularly review claims processing times and implement continuous improvement strategies to ensure compliance with statutory requirements, thereby minimizing the risk of similar issues arising in the future.

CARCs Associated to RARC N656

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