Hello,
I am seeing a lot of denials by a variety of payers for the E/M code with 57 modifier when a surgery is done the same day or day after.
Is anyone else seeing this? We have been appealing with no success. I am not sure what the increase is caused by but we are following CMS guidelines with the use of this modifier.
Any suggestions?
Thank you!
I am seeing a lot of denials by a variety of payers for the E/M code with 57 modifier when a surgery is done the same day or day after.
Is anyone else seeing this? We have been appealing with no success. I am not sure what the increase is caused by but we are following CMS guidelines with the use of this modifier.
Any suggestions?
Thank you!