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Home Health Billing with Blue Cross

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CIA_2019:
Hello all!

Does anyone have any experience billing BCBS for PDN services? How was the process? They are giving a run around because the patient has Medicare which does not cover home health services...

Any feedback / tips will help!

Thanks!

Michele:
Medicare does cover home health services.  Is this something specific that isn't covered?  Maybe you will have to bill Medicare first to get a denial?  Or try the GY modifier if it is truly a non covered Medicare expense.

CIA_2019:
Hello-

Can you give a little more detail on the GY modifier?

Thanks

kristin:
Google is your friend in this situation. Type "GY Modifier" into Google, and you will get all the information you need.

CIA_2019:
Awesome! Does the GY modified work if you are not in network with Medicare?

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