For modifier -22 payment, Healthnow/UMD says send concise report in addition to op note

Article Overview

This premium article covers payer guidance on documenting claims submitted with modifier -22, with emphasis on Healthnow New York/Upstate Medicare Division review expectations and the Medicare framework for unusual circumstances. It is aimed at coders, billers, and practice staff who need to understand the kind of supporting documentation reviewed with these claims and why incomplete submissions may be questioned. The discussion stays focused on documentation requirements, review process, and the general rationale behind additional payment consideration.