Remark code N837 is an alert indicating a missing modifier has been added to ensure accurate billing and reimbursement.
Remark code N837 indicates: Alert: Missing modifier was added.
Common causes of code N837 (Alert: Missing modifier was added) are incorrect or incomplete initial claim submissions, oversight in including necessary procedure modifiers, lack of adherence to payer-specific billing requirements, and errors in electronic health record (EHR) or billing software configurations that fail to automatically include required modifiers for certain procedures or services.
Ways to mitigate code N837 include implementing a comprehensive review process within your billing software or practice management system to ensure that all required modifiers are attached to each CPT code before submission. Training your coding team on the latest coding guidelines and the importance of modifiers in accurately representing the services provided can also help reduce this error. Additionally, utilizing automated coding tools that flag claims without necessary modifiers before they are submitted can prevent this issue. Regular audits of your coding practices can also identify patterns or common areas where modifiers are being missed, allowing for targeted training or process adjustments.
The steps to address code N837 involve a thorough review of the claim to identify the specific service or procedure that required a modifier but was submitted without one. Begin by cross-referencing the billed services with the Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes to determine which codes typically require modifiers in the context of the services provided. Once identified, consult the documentation for the encounter to verify the service details and determine the appropriate modifier that should have been attached. After selecting the correct modifier, adjust the claim to include the missing modifier and resubmit the claim for processing. It's also beneficial to audit recent claims for similar omissions to prevent future occurrences and to provide additional training to coding staff to enhance their understanding of modifier requirements.
Get paid in full by bringing clarity to your revenue cycle
Subscribe to the
Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox
