Medicare recently announced they’ve established four new modifiers – XE, XS, XP, and XU – that may be used in lieu of modifier 59. The codes are specific and become effective January 1, 2015.
Medicare: How to use Modifier GV and Modifier GW We do medical billing for physician offices that do Care Plan Oversight (CPO) for Hospice Patients. When billing for those services, G0182, we use the following Medicare modifiers: GV Modifier The GV modifier is used when a physician is providing a service that is related to the diagnosis for which a patient has been enrolled into hospice. This physician is not associated with the hospice, and is providing services as the attending physician. GW Modifier Continue Reading
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
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
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