Remark code N667 is an alert indicating a claim's denial due to the absence of a required prescription.
Remark code N667 indicates that the claim has been processed but cannot be paid or finalized because it lacks a necessary prescription. This means that in order for the claim to be considered complete and eligible for payment, the healthcare provider must submit the missing prescription documentation.
Common causes of code N667 (Missing prescription) are incomplete patient files, failure to attach the prescription document during the billing process, miscommunication between the healthcare provider and the pharmacy, and errors in electronic health record (EHR) system documentation.
Ways to mitigate code N667 include ensuring that all prescriptions are digitally recorded and attached to the patient's file before submission. Implement a checklist for all billing staff to verify the presence of necessary documents, including prescriptions, as part of the claim preparation process. Utilize electronic health record (EHR) systems with prescription upload features to streamline this process. Regularly train staff on the importance of complete documentation and conduct periodic audits to ensure compliance with these practices. Establish a protocol for immediate follow-up with the prescribing healthcare provider if a prescription is found to be missing prior to claim submission.
The steps to address code N667 involve a multi-faceted approach to ensure the necessary prescription documentation is obtained and properly submitted. Initially, contact the prescribing physician's office to request a copy of the missing prescription. This may involve speaking directly with the physician, their assistant, or the administrative staff responsible for managing patient records. Ensure that the request specifies the patient's name, date of birth, and the date the prescription was issued to avoid any confusion.
Once the prescription is received, verify that it meets all the necessary criteria, including a clear indication of the prescribed service, medication, or equipment, the patient's information, and the physician's signature. If the prescription is for a medication, check that the dosage, frequency, and duration are clearly stated.
Next, update the patient's file with the obtained prescription, ensuring that all electronic and paper records are consistent. This step is crucial for maintaining accurate and comprehensive patient records.
Following the update of the patient's records, resubmit the claim with the newly obtained prescription attached. Ensure that the submission is in accordance with the payer's guidelines for claim resubmission, which may include specific forms or electronic submission requirements.
Finally, monitor the claim's status closely after resubmission to ensure that it is processed promptly and to address any further issues or requests from the payer immediately. Keep a record of all communications and submissions related to addressing code N667 for future reference and in case of audits or disputes.
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