Ob-Gyn Coding Alert

No more 'complex medical review' for these non-covered services.Most of the time, when Medicare payers process denials in a speedy fashion, that's bad news for your practice -- but when you're using modifier GZ, you are already expecting a denial. CMS has made that happen faster with a new regulation indicating that all claims with modifier GZ appended will be denied immediately.Background on why you'll use GZ: It happens to even the best-run medical practices -- the physician has just performed a service that does not meet the Medicare criteria for coverage at the time of the visit and the patient did not sign an ABN.Follow This GA, GZ, and GY ExampleFor instance, suppose a 68-year old low-risk Medicare patient comes in for annual exam, but Medicare paid for her Pap and pelvic exam last year. You inform the patient that Medicare will not cover that part of the exam this year, [...]