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Non-response to ADRs is consistently the top Medical Review denial. This reference guide will assist with proper ADR response.

Cost outlier flowchart to assist with coding claims.

Use this decision flowchart to assist in correctly applying the 24 modifier.

Use this decision flowchart to assist in correctly applying the 25 modifier.

Use this decision flowchart to assist in correctly applying the 57 modifier.

Use this decision flowchart to assist in correctly applying the 58 modifier.

Use this decision flowchart to assist in correctly applying the 78 modifier.

Use this decision flowchart to assist in correctly applying the 79 modifier.

Use this decision flowchart to assist in correctly applying the 59 modifier.