
Why do orthopedic practices lose out on more claims than they lose from missing modifiers? As underpayment from a missing or incorrect modifier may not be detected, it is made without alerting anyone to the possible denial and is deliberately under reimbursed without it being apparent. Orthopedic medical billing services must identify these detail problems at the claim level, instead of waiting until a claim has been submitted to find them. This approach to proactive modifier review is a much more revenue-positive strategy over the entire course of a practice than denial management alone.
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