Common Procedure Code Denial Categories and Strategies to fix the AR denials
Common Procedure Code Denial Categories and Strategies to fix the AR denials Missing or Incorrect Modifiers (CO 4 / PR 55): One of the most common medical billing denials, where procedure codes are submitted without required modifiers to indicate laterality (RT/LT), multiple procedures (-51), or distinct services (-59). These errors directly impact medical billing AR […]
Eliminating Modifier Errors with Intelligent Coding Automation
Eliminating Modifier Errors with Intelligent Coding Automation A Data-Driven Blueprint for Reducing Denials, Improving Accuracy, and Strengthening Revenue Cycle Performance Modifier-related errors continue to represent a significant, though often overlooked, financial burden within medical coding automation and billing practices. Although medical coding modifiers were initially implemented to provide clarity regarding clinical situations and ensure accurate […]
Common CPT Codes affected by denials in Radiology, Injection codes and integumentary coding
Common CPT Codes affected by denials in Radiology, Injection codes and integumentary coding Common claim denials in radiology coding CT Scans (704xx): Claims for CT scans under cpt codes for ct scan, especially those billed with and without contrast (e.g., 70450, 70470), are frequently denied for a lack of prior authorization or radiology medical necessity. […]
