Ensure proper support for claims with modifier 24 as scrutiny ramps up

Why This Topic Matters

Modifier 24 claims can be vulnerable to denials and audit review, so understanding the general compliance landscape helps practices reduce billing risk and improve documentation support.

Article Sections

1. Modifier 24 scrutiny and denial trends

   Introduces the issue of payer review activity and the higher denial environment surrounding claims submitted during a global surgery period.

2. Why incorrect claims are being denied

   Summarizes the basis for denials as described by the contractor and notes the role of documentation review in claim adjudication.

3. 4 tips to fight modifier 24 denials

   Presents broad compliance themes for strengthening claim support, including documentation review, payer guidance, patient record checks, and diagnosis coding considerations.

4. Resources

   Lists external references and payer resources cited by the article for further reading.