The Robots Are Here, and They Are Denying Everything…

Monica, the lead biller, hits submit on a clean claim. CPT 99214. Office visit. Jack Smith has a stomach ulcer, confirmed by the physician. Chart note is complete. Everything is signed. Coding is tight. Submitted at 8:01 AM. At 8:01 and 5 seconds, the denial lands. “Documentation does not support medical necessity.” Monica stares at […]