DENIAL CODES

Denial code N818

Remark code N818 indicates that the dates of service on a claim don't align with the Electronic Visit Verification System data.

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What is Denial Code N818

Remark code N818 indicates that the dates of service submitted on the claim do not align with the dates recorded in the Electronic Visit Verification System.

Common Causes of RARC N818

Common causes of code N818 are discrepancies between the dates of service recorded in the healthcare provider's billing system and those logged within the Electronic Visit Verification (EVV) system, incorrect entry of service dates during the billing process, or failure to update the EVV system in a timely manner with the accurate dates when services were rendered.

Ways to Mitigate Denial Code N818

Ways to mitigate code N818 include implementing a robust verification system that cross-checks the dates of service entered on claims with those recorded in the Electronic Visit Verification (EVV) system. Ensure that your billing team is trained to review and confirm the accuracy of service dates before submission. Utilizing automated software that flags discrepancies between the EVV and the claims submitted can also significantly reduce the occurrence of this code. Regular audits of both systems to ensure synchronization and accuracy of data can further prevent mismatches. Additionally, establishing a clear communication channel between caregivers and billing personnel can help in quickly resolving any discrepancies in service dates.

How to Address Denial Code N818

The steps to address code N818 involve a multi-faceted approach to ensure the claims' dates of service align with the data recorded in the Electronic Visit Verification System (EVVS). Initially, it's crucial to conduct a thorough review of the claim in question to identify any discrepancies between the dates of service documented on the claim and those recorded in the EVVS. This may involve cross-referencing the claim details with patient records and the EVVS to pinpoint the exact mismatch.

Following the identification of the discrepancy, the next step is to correct the dates of service on the claim, if the error lies there, or update the EVVS records, should the mistake be on that end. This correction process must be meticulous to ensure all data aligns accurately across both the claim and the EVVS.

After making the necessary corrections, resubmit the claim with the updated, accurate dates of service. It's also advisable to document the correction process, noting the initial discrepancy, the steps taken to rectify it, and the final resolution. This documentation can be invaluable for future reference, especially if similar issues arise or if there's a need to demonstrate compliance with correction procedures.

To prevent recurrence of code N818, it's beneficial to implement a routine verification process where dates of service on claims are checked against the EVVS data before submission. This proactive approach can significantly reduce the likelihood of mismatches and the subsequent need for corrections, streamlining the claims submission process and enhancing the efficiency of revenue cycle management.

CARCs Associated to RARC N818

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