
One of the most frequent errors in the medical coding process is the missing or inaccuracy of modifiers because standards are continually changing. Your revenue cycle management process is immediately impacted by missing/incorrect/inappropriate modifiers
- When setting up appointments for patients, compile and check all of their insurance information.
- Include diagnostic testing if a patient requires a referral.
- Review payer guidelines for all services that require a pre-cert or authorization.
- Before a patient's appointment, make sure that all authorizations, pre-certifications, and referrals have been confirmed.
Inappropriate medical coding is the leading cause of claim rejections, including omission of modifiers, use of incomplete CPT codes or combination codes, and failure to adhere to local coverage determination (LCD) rules when coding for cardiology.