We just have to remember that we are billing out what is performed exactly as it is performed to report it to the insurance carrier. We are not billing just to ensure payment. I'm sure everybody is up in arms right now, but hear me out. I see so many billers get lost in "how do I get this paid?" That is not the right question. The question should be "am I billing this correctly." Sometimes things are just not covered and it's patient responsibility, or the provider agreed to not bill separately in their contract. Us billers are not magicians, we are just experts at billing correctly. (Sometimes we need to get assistance from others to perform our jobs and to learn.) Our job is not solely to make sure the provider gets paid, but to make sure the provider is reimbursed for all that they are entitled to in a timely manner and to make sure that the claims are being billed properly.
I am billing for a annual well visit (G0439- modifer 25,Dx V70.0) and for smoking cessation (G0437 DX 305.1), Medicare is bundling these services
I just didnt want to confuse the situation with a lot of words//LOL I am a biller and just want to get the monies the provider is due and bill correctly to get to that end..I guess the question is should i append a modifier to the G0439.