DENIAL CODES

Denial code N764

Remark code N764 is an alert for missing or invalid Hematocrit (HCT) values in healthcare claims documentation.

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What is Denial Code N764

Remark code N764 indicates that the claim was processed with issues due to a missing, incomplete, or invalid Hematocrit (HCT) value. This means that the information provided for the Hematocrit level was either not included in the documentation, was incomplete, or did not meet the required standards for processing the claim.

Common Causes of RARC N764

Common causes of code N764 are incomplete patient records, failure to enter the Hematocrit (HCT) value into the patient's electronic health record (EHR), laboratory results not being properly linked to the patient's billing record, or the submission of claims before the HCT results are available or finalized. Additionally, clerical errors or oversight in the documentation process can lead to this code being generated.

Ways to Mitigate Denial Code N764

Ways to mitigate code N764 include ensuring that all laboratory reports submitted with claims contain a clearly documented Hematocrit (HCT) value. Implement a pre-claim submission review process to verify that HCT values are present and accurately recorded. Utilize electronic health record (EHR) systems to flag claims that lack necessary lab results, including HCT values, before they are submitted. Train staff on the importance of complete documentation and establish a checklist for common lab values required for specific claim types to reduce the likelihood of this error.

How to Address Denial Code N764

The steps to address code N764 involve a multi-faceted approach to ensure the completeness and accuracy of the Hematocrit (HCT) value in the patient's medical records. Initially, review the patient's laboratory results to verify if the HCT value was indeed conducted and recorded. If the test was performed but not documented in the claim, update the claim with the correct HCT value and any relevant dates of service before resubmitting. In cases where the HCT test was not done, coordinate with the patient's healthcare provider to have the test ordered and completed. Once the results are available, update the patient's records and the claim accordingly. Additionally, implement a verification step in your billing process to catch such issues before claims are submitted, reducing the likelihood of receiving this code in the future.

CARCs Associated to RARC N764

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