A clean claim arrives with the right diagnosis, the right modifiers, and complete documentation. The payer processes it, but the payment lands below the contracted amount. Nobody can immediately say whether the cause was an outdated fee
A clean claim arrives with the right diagnosis, the right modifiers, and complete documentation. The payer processes it, but the payment lands below the contracted amount. Nobody can immediately say whether the cause was an outdated fee
In 2023, at least 86 public payer-provider disputes were reported, compared with 51 in 2022, a 69% increase, and 44% failed to reach agreement, sending patients or members out of network, according to PayerSet's dispute data. That's
