De-nied!

Abstract

It is important to remain current on the latest edit and modifier guidelines from the AMA, CMS, and your contracted payors. Failure to use modifiers correctly can result in under- or overpayments and can put a provider at risk of penalties. Also, since payors vary in how they adjudicate claims with modifiers, it is important to monitor payments for claims with modifiers to make certain you are being paid correctly.