01:37
Jobsongo.com
CO- 182/CR - 182 Payment adjusted because the procedure modifier was invalid on the date of service.
Definition :MODIFIER REQUIRED/INVALID MODIFIER
Action: First check whether modifier has been entered at the time of charge entry. If no, then resubmit the claim with the correct modifier. If modifier has been entered but the carrier rejects the same then check whether the correct modifier has been used. If you find that the correct modifier has been used, then call the insurance and find out the reason for rejection. Based on the feedback, take corrective action. One example, Blue choice (New York) rejected a lot of claims for the reason invalid or missing modifier. Carrier was called and it was found that they do not require modifiers hence forth and claims need to be billed without modifiers.
Definition :MODIFIER REQUIRED/INVALID MODIFIER
Action: First check whether modifier has been entered at the time of charge entry. If no, then resubmit the claim with the correct modifier. If modifier has been entered but the carrier rejects the same then check whether the correct modifier has been used. If you find that the correct modifier has been used, then call the insurance and find out the reason for rejection. Based on the feedback, take corrective action. One example, Blue choice (New York) rejected a lot of claims for the reason invalid or missing modifier. Carrier was called and it was found that they do not require modifiers hence forth and claims need to be billed without modifiers.
Posted in: Modifier Denial
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