Humana Denials

nat0786

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I have noticed and increase in denials for Humana. The most common is do to inappropriate or missing modifier.
Most common codes I bill out are 98941; 97110 and 97012. What modifiers do your practices use?
 

haraml7

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Sometimes the insurance companies are very vague when it comes to answers to coding. They cannot really give us advice on how to code. So, in this case, I would look at all of my other codes on my claim form that involve any of the above-listed codes and go from there. Do any other codes on the claim need a modifier? If these are your only codes on the claim form I am not really sure what kind of modifier they are referencing to?
If you could give me a little more information I may be able to help a little more.
 
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