tci General Surgery Coding Alert - 2004 Issue 4

Don't Give Up on Noncovered Procedures

Proper modifiers and a signed ABN allow you to collect paymentIf you don't want to get caught absorbing the cost of services that a patient requests or the surgeon recommends, but you know Medicare will not reimburse, it's time to employ modifier -GA and reach for an advance beneficiary notice (ABN). Properly used, the modifier/ABN combination allows you to collect payment for the surgeon's effort directly from the patient. Attach Modifier -GA to Alert Medicare of an ABN The proper time to have the patient sign an ABN is before providing the service or procedure that you want to...

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