Which action is correct if documentation does not support the level of service selected for an E/M code?
QUESTION
Which action is correct if a claim is denied for missing information such as a modifier or NPI?
QUESTION
Identify the correct claim action when a payer requires prior authorization and none is documented.
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ANSWER
Do not bill; obtain prior authorization or follow payer exception rules. This prevents claim denials by adhering to payer policies requiring authorization to confirm coverage before service provision.