Top Reasons For Dermatology Claim Denials?

Incorrect modifiers (e.g., -25 for E&M with procedure, -59 for distinct procedures).
Lack of medical necessity (missing or mismatched ICD-10 codes).
Duplicate billing (e.g., billing for multiple lesions incorrectly).
Prior authorization missing (required for certain procedures like biologics, excisions).
Inadequate documentation (e.g., lesion size, location, or pathology reports not attached).

For Dermatology Billing - https://annexmed.com/top-5-pro....viders-of-dermatolog

پسند