lopezk89
Networker
I have been billing them and having the PT fill out a release for saying that this is not a covered benefit and they the will be charged this fee. I need to know if I append a modifier .
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Wiki Coding Phone consultations
- Thread starter lopezk89
- Start date
btadlock1
Guest
Careful to make sure your documentation meets the criteria for the CPT code - If the patient is told to come in and see the doctor within the next 24 hours, or the next available urgent care visit appointment, or if the call is related to a previous E/M reported within the past 7 days, it's not billable at all. Billing a patient for a service in those circumstances would be a violation of your contracts - it's as good as unbundling and balance billing the patient for the incidental work.
That said, if you're billing Medicare, you have to have a real ABN signed, and you'd use the appropriate HCPCS modifier, either GA, or GX if they refused to sign.
Commercial will not require a modifier, but expect to have medical records requested for the encounter. Hope that helps!
Cute pic, by the way...
lopezk89
Networker
Hello
Yes Thank you very Much !!!!!
And thank you Yours is pretty cute as well.....
Yes Thank you very Much !!!!!
And thank you Yours is pretty cute as well.....