DENIAL CODES

Denial code N852

Remark code N852 indicates a discrepancy between the pay-to and rendering provider's tax identification numbers (TINs).

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What is Denial Code N852

Remark code N852 is an indication that there is a discrepancy between the tax identification numbers (TINs) provided for the pay-to provider and the rendering provider, suggesting that the numbers submitted do not match.

Common Causes of RARC N852

Common causes of code N852 are incorrect entry of the pay-to or rendering provider's TIN in the billing software, discrepancies between the TIN registered with the payer and the one provided on the claim, and administrative errors during the enrollment process of the provider with the payer. Additionally, this code may arise from changes in the provider's tax information that have not been updated with the payer or inconsistencies in the way the TIN is formatted or presented on the claim.

Ways to Mitigate Denial Code N852

Ways to mitigate code N852 include ensuring that the billing staff consistently verifies and updates the provider's information in the practice management system. Regular training sessions should be conducted to familiarize the billing team with the importance of accurate data entry, especially concerning tax identification numbers (TINs). Implementing a double-check system where another team member reviews the TINs before claims are submitted can also help catch discrepancies. Additionally, utilizing software that automatically flags mismatched or incomplete information can prevent this issue from occurring. Engaging in periodic audits of provider information within the system compared to what is on file with payers can also identify and rectify mismatches before they result in rejected claims.

How to Address Denial Code N852

The steps to address code N852 involve a multi-faceted approach to ensure that the pay-to and rendering provider tax identification numbers (TINs) match in future submissions. Initially, conduct a thorough review of the billing records and the claim in question to identify the discrepancy between the pay-to and rendering provider TINs. This involves comparing the TINs listed on the claim with those registered with the payer and in your practice management system.

Next, update the practice management system or billing software with the correct TINs to ensure consistency across all platforms. This may involve correcting the TIN for either the pay-to or rendering provider, depending on which one was inaccurately reported.

Following the correction in your system, resubmit the claim with the accurate TINs. It's crucial to document the changes made and the date of resubmission for tracking purposes and future reference.

To prevent recurrence of code N852, implement a routine verification process of TINs within your billing cycle. This could involve periodic checks of the TINs against the IRS records or utilizing software that automatically verifies the accuracy of TINs before claim submission.

Lastly, consider training or a refresher course for your billing staff on the importance of accurate TIN matching and the potential financial implications of errors like code N852. This education can include best practices for data entry, the significance of regularly updating provider information, and the steps for verifying TINs with the IRS or other authoritative sources.

CARCs Associated to RARC N852

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