Modifier -22: Extra work, extra pay-now, extra delays

Why This Topic Matters

Modifier -22 claims can require additional documentation and follow-up, so changes in how payers receive and request supporting records can affect cash flow, workload, and claim monitoring. The article helps readers understand the broader administrative impact of these claims without serving as a substitute for the full guidance.

Article Sections

1. Documentation submission changes

   Overview of payer handling for supporting documentation and the shift toward requesting records after the initial claim is filed.

2. Processing delays and claim follow-up

   Discussion of manual review, delayed reimbursement, and strategies for tracking claims through the follow-up process.

3. Practice workflow and reporting

   General guidance on internal tracking methods and how larger practices may organize their documentation workflow.

4. Appropriate use of modifier -22

   Broad discussion of when the modifier is considered and the types of circumstances that may be scrutinized by payers.