Wiki HELP! Modifiers getting confusing

sdb67

Networker
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Temple, Texas
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:confused:

I am working on billing audits - there are so many appeals due to - physicians/facilities not coding with proper modifiers! Example:
ER charges - the E/M w/lab, radiology - part is paid the other denied?
Procedures on ears, spine, fingers - not being billed with anatomical modifiers?

what is correct?????

Help is greatly appreciated.
 
I'm not 100% sure of your question. Re-file the ER charges with a 25 modifier?

Re-file the other claims with anatomical modifiers?
 
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