In today’s fast-changing healthcare landscape, one of the biggest challenges for providers and medical billing companies is dealing with claim denials. Even a single denied claim can disrupt cash flow, increase administrative burden, and delay patient care. Among the most common reasons for denials is the incorrect use—or lack of use—of modifiers. Modifiers GA, GX, […]
A focus on front-end revenue cycle efficiency can help to avoid costly medical necessity denials. KEY TAKEAWAYS Four words often describe the efforts to prevent denials related to medical necessity: too little, too late. Mistakes are made early in the patient’s hospital stay, and these mistakes lead to problems down the road. What remains constant […]