Problems

What will AGI do for Emergent Code Claims Denials?

Medical billing teams face a continuous wave of revenue loss from claims denied due to emergent billing codes. Every year, regulatory bodies introduce hundreds of new or modified CPT and ICD-10 codes to reflect novel procedures, biomarker tests, and care modalities. Revenue cycle directors mandate the use of these new codes to capture accurate clinical complexity, but payer adjudication systems routinely reject them.