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New Medicare 59 Modifiers – XE, XP, XS, XU

Health Insurance Companies Process 1 in 5 Claims Wrong

Tag Archives: Medicare Modifiers

Medicare Hospice Modifier GV and GW

Medicare Hospice Modifier GV and GW

Medicare: How to use Modifier GV and Modifier GW We do medical billing for physician offices that do Care Plan Oversight (CPO) for Hospice Patients.  When billing for those services, G0182, we use the following Medicare modifiers: GV Modifier The GV modifier is used when a physician is providing a service that is related to the diagnosis for which… Continue Reading

Medicare Advance Beneficiary Notice (ABN): A Quick How-To

Medicare Advance Beneficiary Notice (ABN): A Quick How-To

Does Your Medicare Patient Need To Sign An Advance Beneficiary Notice (ABN) CMS-R-131? Yes!  When applicable, your Medicare patients should always sign an Advance Beneficiary Notice (form CMS-R-131). An ABN is not used for commercial insurance companies. What Is An ABN? An ABN is a Medicare waiver of liability that providers are required to give a… Continue Reading

Commonly Used Medicare Modifiers – GA, GX, GY, GZ

Commonly Used Medicare Modifiers – GA, GX, GY, GZ

Medicare ABN Specific Modifiers – GA, GX, GY, GZ We get a lot of questions at our medical billing company about which modifiers to use when submitting charges to Medicare. Specifically, we are often asked how to indicate whether or not an ABN (Advanced Beneficiary Notice) was given to the patient.  These are the top 4 Medicare… Continue Reading

Medicare Changes GA and Adds GX Modifier for Advanced Beneficiary Notices

Medicare Changes GA and Adds GX Modifier for Advanced Beneficiary Notices

Medicare GA and GX Modifiers Changed As of April 1, 2010, Medicare has changed the way you need to report that a Medicare patient signed an Advanced Beneficiary Notice (ABN).  Medicare has revised the GA modifier and added a new GX modifier you must consider when doing medical billing. Medicare GA Modifier Prior to April 1st,… Continue Reading

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The analysis of any medical billing or coding question is dependent on numerous specific facts -- including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies (as well as coding itself) are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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