Expect extra delays from Noridian on modifier 22 claims

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers a Medicare billing update about how Noridian is handling claims involving modifier 22 and why that may affect payment timing and follow-up work. It is aimed at coders, billers, and practice management staff who monitor claim documentation, reimbursement delays, and payer-specific review practices. The discussion stays at a high level, emphasizing the operational impact of the bulletin and the kinds of internal tracking practices practices may want to review.

Why This Topic Matters

Practices that submit claims with modifier 22 may experience longer processing times and more manual follow-up, which can affect cash flow and workload. Understanding the operational change helps billing teams recognize which claims may need closer tracking and documentation management.

What You Will Learn

  • Why certain claims may take longer to process when a payer requests additional review
  • How documentation handling can affect reimbursement workflow
  • What operational steps billing teams may consider when tracking claims that receive extra scrutiny
  • How payer monitoring can influence internal claim follow-up processes

Who Should Read This

  • Medical coders
  • Medical billers
  • Revenue cycle staff
  • Practice managers
  • Claims follow-up staff

Codes Discussed

Modifiers Discussed


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