Tag Archives for GX Modifier

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

Medicare Advance Beneficiary Notice (ABN): A Quick How-To

Does Your Medicare Patient Need To Sign An Advance Beneficiary Notice (ABN) CMS-R-131? Yes!  When applicable, your Medicare patients should always sign an Advance Beneficiary Notice (form CMS-R-131). An ABN is not used for commercial insurance companies. What Is An ABN? An ABN is a Medicare waiver of liability that providers are required to give a Medicare patient for services provided that may not be covered or considered medically necessary. An ABN is used when service(s) provided may not be reimbursed Continue Reading

Filed Under: 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