Watch Your Claims and Modifiers!!!

Just a quick note to advise all of you providers who are currently billing insurance companies, Watch Your Claims and Modifiers. Whenever you get a billable code from an insurance company, have them verify verbally and especially in writing what modifiers must be used and how! We had been submitting claims with the codes given to us as billable this year. After numerous claims submitted since February, we still have not been reimbursed for our services. It appears that we did not use modifiers on our claims. WHAT!!! You can imagine how we reacted! We immediately started an email and phone communication to get this problem resolved. It has been a struggle but there seems to be a light at the end of the tunnel. It appears that there was a failure in the communication trail which resulted in our claims being held up. We are now submitting claims religiously every week with the correct modifiers. The moral of the story verify your codes and modifiers!!!