How To Fix Remark Code M603 (RARC) | Common Reasons, Next Steps & How To Avoid It

Remark Code N396 means that there is an incomplete or invalid laboratory report. This code is used to indicate the reason for denial or adjustment of a claim related to laboratory services. It is important to address this remark code to ensure accurate billing and proper patient care.

1. Description

Remark Code N396 indicates that there is an incomplete or invalid laboratory report. The official description states: ‘Incomplete/invalid laboratory report.’ This remark code is typically used when the laboratory report does not meet the necessary requirements for accurate diagnosis and treatment planning. It is crucial to have complete and valid laboratory reports to ensure the best possible patient care.

2. Common Reasons

1. Missing or incomplete test results: This can occur when certain tests were not performed or when the results are not properly documented.
2. Incorrect patient information: If the laboratory report does not match the patient’s information, it can lead to claim denials or adjustments.
3. Invalid or outdated testing methods: If the laboratory report uses outdated or invalid testing methods, it may not provide accurate results.
4. Improper handling or storage of samples: If the samples used for testing were not handled or stored properly, it can affect the validity of the laboratory report.

3. Next Steps

1. Contact the laboratory for the missing or incomplete test results: It is important to obtain the necessary information to complete the laboratory report.
2. Verify the accuracy of patient information: Review the patient’s information to ensure it matches the laboratory report.
3. Ensure the use of valid and up-to-date testing methods: Confirm that the laboratory is using appropriate testing methods for accurate results.
4. Investigate the handling and storage of samples: Determine if there were any issues with the handling or storage of the samples used for testing.

4. How To Avoid It

1. Ensure complete and accurate documentation: Provide all necessary information and ensure it is correctly recorded in the laboratory report.
2. Double-check patient information: Verify that the patient’s information is accurate and matches the laboratory report.
3. Use validated and up-to-date testing methods: Ensure that the laboratory is using approved and current testing methods.
4. Implement proper sample handling and storage protocols: Establish guidelines for the handling and storage of samples to maintain their integrity.

5. Example Cases

1. Case 1: A claim for laboratory services is denied because the laboratory report is missing crucial test results, highlighting the importance of complete documentation.
2. Case 2: A claim adjustment occurs because the laboratory report contains outdated testing methods, emphasizing the need for up-to-date practices.

Source: Remittance Advice Remark Codes