Medical Billing Forum
Medical Billing Forum - Get all of your billing & coding questions answered here!
Welcome,
Guest
. Please
login
or
register
.
Did you miss your
activation email
?
1 Hour
1 Day
1 Week
1 Month
Forever
Login with username, password and session length
News:
Online Courses!
Start Taking Medical Billing Courses Online - Free Financing & Special Discounts Available!
Click Here for the Savings
Home
Help
Search
Login
Register
Medical Billing Forum
»
Coding
»
Coding
(Moderators:
Alice Scott
,
Michele
) »
ABN and modifier GA
« previous
next »
Print
Pages: [
1
]
Author
Topic: ABN and modifier GA (Read 2526 times)
datwood
Newbie
Posts: 14
ABN and modifier GA
«
on:
May 08, 2013, 04:48:52 PM »
Hello,
I was reading one of the post you have with regards to the Zostavax. When we submit the claim to Medicare do we have to put a GA modifier to let them know that patient has signed the ABN?
Thank you,
D
Logged
RichardP
Hero Member
Posts: 757
Re: ABN and modifier GA
«
Reply #1 on:
May 09, 2013, 12:18:49 AM »
From here:
http://wpsmedicare.com/j5macpartb/resources/modifiers/modifier-ga.shtml
Appropriate Usage [of GA Modifier]:
* Indicates the expected denial that an item or service is not reasonable and necessary
* The most common example of these situations would be services adjudicated under a Local Coverage Decision (LCD).
*
The presence or absence of this modifier does not influence Medicare's determination for payment.
* It is appropriate to report this modifier when the beneficiary refuses to sign the ABN.
* If Medicare determines that the service is not payable, the claim denial is under a "medical necessity denial."
Logged
datwood
Newbie
Posts: 14
Re: ABN and modifier GA
«
Reply #2 on:
May 09, 2013, 06:48:08 PM »
Thank you Richard!
Logged
Medical Billing Forum
Re: ABN and modifier GA
«
Reply #2 on:
May 09, 2013, 06:48:08 PM »
Print
Pages: [
1
]
« previous
next »
Medical Billing Forum
»
Coding
»
Coding
(Moderators:
Alice Scott
,
Michele
) »
ABN and modifier GA