Ophthalmology and Optometry Coding Alert

Question: Must I always file modifier 22 claims manually? Is there an easier and faster way to submit these claims?

Arkansas Subscriber

Answer: Every modifier 22 (Increased procedural services) claim will require that you submit substantial documentation, but many payers would prefer that you submit the claim electronically and send the documentation, if requested, following the claim's adjudication.

The payer may deny the claim using a denial code that would require you to re-submit the claim for review with supporting documentation.