FWA Insights: Identifying modifier misuse in radiology services

Improper use of modifier codes in radiology can lead to excessive billing, often misrepresenting radiology services and diminishing trust between providers and health plans. As new requirements and measures emerge, special investigative units (SIUs) should remain vigilant with claims analyses and proper documentation to reduce overpayments. This...

  • Published date: 11-06-2026 03:47 PM