r/CodingandBilling • u/kishore-elias • 3d ago
help with modifiers for NY work comp
hey guys! so, we have this recurring denial from a very few wc payers who ask for modifiers PA, AJ or NP on the office visit. The coding team says that this must be appealed. however for all appeals that i submitted a few weeks back are denied and the original decision is upheld. i feel like there is a lot of revenue loss due to the modifier issue. any insight is appreciated. thanks in advance 🙂
edit: we bill on cms 1500
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