AR DENIAL MANAGEMENT VIDEOS - CPT inconsistent with Modifier denialcode CO-4 #medicalbilling#coding #claim#insurance #healthcare

PROCEDURE inconsistent with Modifier denial code CO-4 #medicalbilling#coding #claim#insurance #healthcare #patient #denialmanagement #denial #modifiers #modifier https://youtu.be/CrM8PVHlJw4 -------------------------------------------------------------------------------------------------------------------- #MODIFIER: The 2 digit code, that provides an additional information to the service/treatment/ procedure (CPT code) without changing the original meaning of the service. Mod Format: 2 digit Numeric or 2 digit Alpha or 2 digit Alpha Numeric. The consistent relationship of CPT-MOD helps to Providers by getting payments from Insurance companies. Example : 93010-26, 93010-TC, 93010-LT, 93010-RT, 93010-50, 99213-24,99213-25……..etc. ----------------------------------------------------------------------------------------------------------------------- * The inconsistence relationship of CPT-MOD is the reason to deny the claim stating CO4: Cpt code inconsistent with Modifier. Pre-call analysis: -Proper analysis required, verify previous Dos. AR Caller : Probe if previously DOS got payments & ask for valid Modifier, take claim#, call ref# , close the call. Action s: 1. Task to CODING ASSISTANCE/Review (with AR caller notes). 2. RESUBMIT the corrected claim with valid CPT-MOD relationship. --------------------------------------------------------------------------------------------------------------------- ::DEAR FRIENDS THANK YOU FOR WATCHING ! HAVE A GOOD HEALTH::