tci E/M Coding Alert - 2017 Issue 11

Reader Question: Keep These G Modifiers in Mind for ABNs

Question: What are the G modifiers we may use on our services that need ABN claims? Georgia Subscriber Answer: You should obtain an advance beneficiary notice (ABN) to keep compliant if you are unsure about whether Medicare will cover a patient's E/M service. Once you've provided the patient with an appropriately issued ABN, Medicare also asks you to append the proper G modifier. Although the G modifiers are not required to garner payment for the services, experts agree it's a good idea to use the modifiers for compliance reasons. Additionally, the G modifiers also make things easier on the...

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