Author Topic: Medicare  (Read 2603 times)

catooch

  • Newbie
  • *
  • Posts: 45
Medicare
« on: August 11, 2008, 07:28:14 PM »
Hi,

I work for a chiropractor's office and today I called Medicare for a question on one of their denials and they told me that we have to start billing codes 97014 & 97010 with a GA modifier if we want to get paid.  From my understanding we don't get paid for those codes anyway, so why should put that modifier on? 

Also if we use G0283 instead of 97014 we do get paid?  This is all so confusing.  Please help

Michele

  • Administrator
  • Hero Member
  • *****
  • Posts: 5927
    • Solutions Medical Billing
Re: Medicare
« Reply #1 on: August 11, 2008, 11:20:17 PM »
We bill for about 20 chiropractors and we have never seen them paid for anything other than the manipulation codes.  We have some that we do bill out modalities with the GA modifier and the AT modifier and they are never paid.  We have also billed the 97014 out as G0283 but still no payment.  So in my opinion it really doesn't make a difference.  We do use the modifiers just for consistency.

Michele
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

catooch

  • Newbie
  • *
  • Posts: 45
Re: Medicare
« Reply #2 on: August 12, 2008, 12:53:23 AM »
Thanks Michelle....................

Medical Billing Forum

Re: Medicare
« Reply #2 on: August 12, 2008, 12:53:23 AM »