How To Fix Remark Code M392 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code N181 means that additional information is required from another provider involved in the service. This code is used to indicate that there is missing or incomplete information that is necessary for proper billing or claim processing. It is important to obtain the required information to ensure accurate reimbursement and avoid claim denials or adjustments.

1. Description

Remark Code N181 indicates that additional information is needed from another provider who was involved in the service. The official description states: ‘Additional information is required from another provider involved in this service.’ This means that there is missing or incomplete information that is necessary for proper billing or claim processing. It is crucial to obtain the required information to ensure accurate reimbursement and avoid claim denials or adjustments.

2. Common Reasons

1. Incomplete documentation: The documentation provided may be missing important details or may not include all the necessary information required for billing or claim processing.
2. Lack of communication: There may have been a breakdown in communication between providers, resulting in missing information or documentation.
3. Unresponsive provider: The provider who has the required information may not be responding in a timely manner, causing delays in claim processing.
4. Incorrect or incomplete coding: Errors in coding can lead to missing information or incomplete documentation, resulting in the need for additional information.

3. Next Steps

1. Contact the other provider: Reach out to the provider who has the required information and request the missing or incomplete documentation.
2. Follow up: If the provider does not respond promptly, follow up with reminders or escalate the issue to ensure timely resolution.
3. Coordinate with the billing department: Work closely with the billing department to ensure that all necessary information is obtained and properly documented.
4. Document all communication: Keep a record of all communication with the other provider and any attempts made to obtain the required information.

4. How To Avoid It

1. Establish clear communication channels: Ensure that there is open and effective communication between all providers involved in the service to avoid missing information.
2. Provide comprehensive documentation: Ensure that all necessary information is included in the documentation to minimize the need for additional information.
3. Double-check coding: Review the coding to ensure accuracy and completeness, reducing the likelihood of missing information.
4. Follow up promptly: If additional information is requested, respond promptly to avoid delays in claim processing.

5. Example Cases

1. Case 1: A claim is denied because the required information from a specialist who performed a procedure is missing. The provider contacts the specialist and obtains the necessary documentation, and the claim is resubmitted successfully.
2. Case 2: A claim is adjusted because the coding provided by one provider does not match the documentation from another provider involved in the service. The providers communicate and resolve the discrepancy, and the claim is resubmitted with the correct information.

Source: Remittance Advice Remark Codes