Tag Archives for Advanced Beneficiary Notice

New Medicare Advance Beneficiary Notice ABN CMS-R-131 to be used by January 1, 2012

Use New Medicare Advance Beneficiary Notice ABN CMS-R-131 by January 1, 2012 I received an e from the CMS LISTSERV today reminding me about the new Advance Beneficiary Notice ABN that we all have to start using by January 1, 2012.  I wanted to that information with you all, just in case you do not to the Medicare es.  Below is the info right from CMS. 2011 Version of Advance Beneficiary Notice of Noncoverage Must Be Used Beginning Sun Jan 1, 2012 In Continue Reading

Filed Under: Medical Billing and Coding Topics, Medicare Billing Tips

Medicare Billing for a Well Woman – G0101, Q0091, G0438, G0439, 99387 & 99397

Medicare Billing for Well Woman Exam Using Codes G0101 and Q0091 and Annual Wellness Visits AWV G0438 and G0439 As we are all aware, Medicare now allows for the Annual Wellness Visit (AWV) G0438 or subsequent AWV G0439, but how does this relate to an annual Well Woman Exam?  IT DOESN’T. An annual Well Woman Exam is a completely separate evaluation and management service from an AWV, and unless the provider specifically evaluates a patient for both the AWV and Continue Reading

Filed Under: Annual Wellness Visit Tips, Billing & Coding Tips, Featured Blog Posts, Medical Billing and Coding Topics, Medicare Billing Tips

Commonly Used Medicare Modifiers – GA, GX, GY, GZ

Medicare ABN Specific Modifiers – GA, GX, GY, GZ We get a lot of questions at our medical billing company about which modifiers to use when submitting charges to Medicare. Specifically, we are often asked how to indicate whether or not an ABN (Advanced Beneficiary Notice) was given to the patient.  These are the top 4 Medicare modifiers we use. GA Modifier: Waiver of Liability Statement Issued as Required by Payer Policy. This modifier indicates that an ABN is on file and Continue Reading

Filed Under: Featured Blog Posts, Medical Billing and Coding Topics, Medicare Billing Tips

Medicare Changes GA and Adds GX Modifier for Advanced Beneficiary Notices

Medicare GA and GX Modifiers Changed As of April 1, 2010, Medicare has changed the way you need to report that a Medicare patient signed an Advanced Beneficiary Notice (ABN).  Medicare has revised the GA modifier and added a new GX modifier you must consider when doing medical billing. Medicare GA Modifier Prior to April 1st, the GA modifier read “waiver of liability on file.”  The new revised description is “waiver of liability statement issued, as required by payer policy.” Use this Continue Reading

Filed Under: Billing & Coding Tips, Medical Billing and Coding Topics, Medicare Billing Tips