BLOGS

Modifier denials in healthcare are rising across every specialty in 2025. Most of the patterns trace back to a small group of high-risk billing modifiers — including Modifier 25, Modifier 59, Modifier 24, and the X-modifiers — that payers now flag more aggressively. These denial trends reveal workflow gaps long before aging A/R exposes the problem. If your practice is seeing more claim denial patterns tied to modifiers, the data is signaling a revenue cycle issue worth paying

The Hidden Cost of DIY Medical Billing Every denied claim, every delayed payment, every billing error costs your practice real money. While you're focused on patient care, critical revenue opportunities slip through the cracks.

In 2026, modifiers such as KX, CQ, and CO will be under tighter scrutiny than ever before. This means that physical therapy clinics without airtight processes are not just risking denials; they’re also risking audits and penalties.