chiropractic medicare billing

[KARREN]

Do you have to bill medicare for non covered services (G0283 GPGY AND 97012GPGY)  in order to collect from the patient.
We do have a signed ABN on file, patient chooses to have these services.  my question: do you still have to bill these non covered services to medicare 97012GPGY before collecting from the patient. OR Can you just record the data in the system and collect from the patient.

[DMK]

You have to bill Medicare for the denial in order to bill the patient.  Be sure the services are outlined in the ABN, and make sure you use the correct modifiers.

The EOB will show that you can bill the patient if it's coded correctly.  The portion that's not covered will come back quickly on a separate EOB.  At least ours does electronically.