A denial is received in the office indicating that a service was billed and denied due to bundling issues. The medical record is obtained, and upon review, it is documented that the second procedure is a staged procedure that was planned at the time of the initial procedure. When the claim is reviewed, no modifier was attached to the codes on the claim. What should be done to resolve the claim?

a.Write the claim off
b.Refile the claim
c.Balance bill the patient for the claim amount
d.Add modifier 58 to the procedure and follow the payer's guidelines for appeals

Q&A Education