If you don't use GA, you won't be able to bill the patient

Article Overview

This article covers Medicare screening colonoscopy and sigmoidoscopy billing when coverage may be denied, with a focus on patient waivers, claim submission, and the role of modifier reporting. It is aimed at general surgeons, billing staff, and coding professionals who handle Medicare preventive screening claims and need to understand how payer notification requirements affect reimbursement and patient liability. The discussion also touches on how similar contract language may appear in private payer arrangements.