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 […]
