Therapy: Look for remittance advice message about therapy G-codes, C-modifiers

Why This Topic Matters

Understanding these remittance advice alerts helps practices recognize when therapy claims may be affected by Medicare processing edits and avoid avoidable claim rejections or delays.

Article Sections

1. Remittance advice warnings for therapy claims

   Overview of new Medicare contractor messaging affecting therapy claim processing and the timing referenced in the notice.

2. Claims with therapy evaluation and re-evaluation codes

   Discussion of therapy claims that include certain evaluation or re-evaluation services and the related remittance advice messages.

3. Claims with functional reporting G-codes

   Discussion of therapy claims involving functional reporting codes and the related requirement for an accompanying modifier.

4. Additional reference

   Pointer to a related Medicare learning network resource for further information.