What Causes Payment Delays in Chronic Condition Claims?
How Do Coding Errors Affect Chronic Condition Billing? Coding accuracy is critical in chronic condition billing . Even small coding mistakes can trigger manual reviews or denials. Frequent coding issues include: Incorrect ICD-10 codes for chronic conditions Missing or incorrect modifiers Improper use of chronic care management codes Diagnosis and procedure mismatches Experienced medical billers and coders help prevent these errors before claims are submitted. Why Do Authorization Issues Cause Payment Delays? Many services related to chronic condition claims require prior authorization, especially diagnostics, therapies, and long-term management programs. Delays occur when: Authorizations are missing or expired Services exceed approved limits Documentation does not match authorization details Poor authorization tracking leads directly to payment delays . Why Are Chronic Condition Claims Audited More Frequently? Payers audit chronic condition billing more often ...