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GA MODIFIER

We have been having a problem with getting paid on the cpt Q0091 we will sometimes use the GA modifier...We have found that if we take off the GA mod. that we started getting paid and then all of a...

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Re: GA MODIFIER

We would need to know WHY they are being denied. Your eob will answer your question, but if it's leaving you more confused after analyzing it, ou'd have to share with us why they are denying it.

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Re: GA MODIFIER

They deny it saying it is part of the providers contracted amount (as stated on the eob) however it is not consistent. Sometimes it will be denied due to provider contracted amount and sometimes they...

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Re: GA MODIFIER

Well, now, this is a little confusing, because both Q0091 and the GA modifier are only for use with Medicare claims. I suppose other payers would recognize the Q0091it but 99% of them will probably...

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Re: GA MODIFIER

Hm, no expert on GYN, but if I recall correctly, MCR only covers this code once every two years. That might account for some of your Medicare denials. Also, based on the description it's equivelant to...

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Re: GA MODIFIER

You are correct on both accounts, NaGahl.

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Re: GA MODIFIER

www.ericacodes.com/Coding...Smears.docThis article might help,Read More

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