DENIAL CODES

Denial code N817

Remark code N817 is a notification for labs to collect & report private payor data to CMS from Jan 1 - Mar 31, 2020.

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What is Denial Code N817

Remark code N817 is an alert indicating that applicable laboratories must collect and report data from private payors to the Centers for Medicare & Medicaid Services (CMS) within the specified timeframe of January 1, 2020, to March 31, 2020.

Common Causes of RARC N817

Common causes of code N817 are:

1. Failure to collect required private payor data within the specified timeframe.

2. Inadequate documentation or reporting of collected private payor data to CMS.

3. Misinterpretation of the types of data required for collection and reporting.

4. Technical issues or errors in the data reporting process.

5. Overlooking the notification or update from CMS regarding the data collection and reporting requirement.

6. Lack of awareness or understanding of the requirement for applicable laboratories to report specific data to CMS.

Ways to Mitigate Denial Code N817

Ways to mitigate code N817 include implementing a robust data collection system that captures all necessary private payor information accurately. Ensure that your laboratory's billing and IT departments collaborate closely to establish a seamless process for collecting, verifying, and reporting payor data within the specified timeframe. Regular training sessions for staff involved in data collection and reporting can help maintain awareness of the requirements and deadlines. Additionally, setting up periodic internal audits before the reporting period ends can help identify and rectify any discrepancies or gaps in the collected data, ensuring compliance with CMS requirements.

How to Address Denial Code N817

The steps to address code N817 involve a multi-faceted approach focused on ensuring compliance with data collection and reporting requirements. First, establish a dedicated team or assign a responsible individual to oversee the collection and reporting process. This team should be familiar with the specifics of what data needs to be collected, including understanding the nuances of private payor information that falls under this requirement.

Next, conduct a thorough audit of current data collection and reporting mechanisms to identify any gaps or inefficiencies. This may involve reviewing electronic health record (EHR) systems, billing software, and any other tools used to capture payor information. If gaps are identified, take immediate steps to enhance these systems, ensuring they can accurately collect the required data within the specified timeframe.

Implement a robust training program for all relevant staff members, focusing on the importance of this requirement, the specifics of the data that need to be collected, and how to properly enter this information into your systems. This training should also cover any changes made to your systems or processes as a result of the audit.

Set up a schedule for regular check-ins to monitor progress and address any issues promptly. This could involve weekly meetings with the dedicated team or individual responsible for overseeing the collection and reporting process.

Finally, prepare and submit the required data to CMS within the specified timeframe, ensuring that all information is accurate and complete. After submission, document the process, noting any challenges faced and how they were overcome, as this will be valuable for future reporting periods.

CARCs Associated to RARC N817

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