Denials are responses by the payer that the claim is either incorrect or the billed amount is not representative of the services documented in the patient record. Sometimes, it is as simple as a missing modifier or incorrect patient identification number.

Question

Quizplus · Accepted Answer

Denials in medical billing occur when a payer refuses to approve a claim due to errors such as incorrect patient information, missing modifiers, or discrepancies between billed services and those documented in the patient record.

Denials Are Responses by the Payer That the Claim Is