How To Fix Remark Code M364 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code N148 means that there is missing, incomplete, or invalid information regarding the date of the last menstrual period. This code is often used by medical coders and insurance companies to indicate the reason for denial or adjustment of a claim related to reproductive health services.

1. Description

Remark Code N148 indicates that there is missing, incomplete, or invalid information regarding the date of the last menstrual period. The official description states: ‘Missing/incomplete/invalid date of last menstrual period.’ Accurate documentation of the last menstrual period is crucial for various reproductive health services, including pregnancy confirmation, fertility treatments, and contraceptive management.

2. Common Reasons

1. Missing date of last menstrual period: The claim may be denied or adjusted if the date of the last menstrual period is not provided at all.
2. Incomplete date of last menstrual period: If the date provided is incomplete or lacks specific details, it may lead to claim issues.
3. Invalid date of last menstrual period: If the date provided is not within the expected range or does not align with the patient’s medical history, it may result in claim denials or adjustments.

3. Next Steps

1. Contact the healthcare provider for the missing or incomplete information: Reach out to the healthcare provider to obtain the accurate date of the last menstrual period.
2. Verify the validity of the date provided: Cross-reference the date with the patient’s medical history to ensure its accuracy.
3. Update the claim with the correct date of the last menstrual period: Once the accurate information is obtained, update the claim with the correct date to avoid further issues.

4. How To Avoid It

1. Ensure accurate documentation of the date of the last menstrual period: Train healthcare providers and staff to consistently record this information in patient records.
2. Implement thorough data validation processes: Use electronic health record systems or claim management software that prompts for complete and valid information regarding the last menstrual period.
3. Regularly review and update patient records: Periodically review patient records to ensure that the date of the last menstrual period is up to date and accurate.

5. Example Cases

1. Case 1: A claim for fertility treatments is denied because the date of the last menstrual period is missing, highlighting the importance of accurate documentation for reproductive health services.
2. Case 2: A claim adjustment occurs because the date of the last menstrual period provided is invalid, emphasizing the need for precise and valid information in claim submissions.

Source: Remittance Advice Remark Codes