Tag: Non-covered services

GY modifier

Mastering the GY Modifier: A Guide for Anesthesia Providers

Every code, every modifier, plays a crucial role in ensuring accurate reimbursement for services rendered. For anesthesia providers, understanding and correctly applying modifiers is particularly critical, as their services often involve complex scenarios. Among these, the GY modifier stands out as a powerful, yet often misunderstood, tool for ensuring proper payment for non-covered services. If […]
Insurance Claim Denials

Navigating Insurance Claim Denials: A Step-by-Step Guide

Imagine receiving an Insurance Claim Denials notice that states services are not covered or require prior authorization. Table of Contents Requires Prior Authorization Coverage Terminated or Member Not Eligible on the Date of Service Services Performed are Non-Covered Maximum Benefit for This Service Has Been Met Steps for Obtaining Authorization The Importance of Verification and […]