carmen rodriguez
New
- Messages
- 2
- Location
- Surprise, AZ
Does anyone have information on these modifiers and when it is appropriate to use them? I have googled and searched and the information I read is confusing, we get denials when our providers perform emergency procedures for no authorization obtained, I file reconsideration and appeals and still get denied because prior authorization was not obtained, one insurance rep told me that the emergency modifier is missing? but of course, they can't give me any information, it is hard to obtain a prior authorization for a procedure after hours or weekends, and I have explained that in my appeals, any suggestions?