tci Part B Insider - 2011 Issue 6

Part B Modifiers: Modifier GZ Denials Will Arrive Faster, Thanks to New CMS Transmittal

No more 'complex medical review' for these non-covered services.Most of the time, when Medicare payers process denials in a speedy fashion, that's bad news for your practice -- but when you're using modifier GZ, you are already expecting a denial. CMS has made that happen faster with a new regulation indicating that all claims with modifier GZ appended will be denied immediately.Background on why you'll use GZ: It happens to even the best-run medical practices--the physician has just performed a noncovered service and there's no ABN on file.If you should have had a patient sign an...

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