Justarose
Guest
Patient has signed the ABN ...we are using the GX
Can anyone clarify my understanding before we file and lose everything -
If I apply the GX to the specific drug codes ; we know they are not going to pay ... but what about the ADMINISTRATION codes ? Will they pay those ...or do I have to include them with the non-covered charges ?
Also : there are a lot other drugs used that are not a part of the ABN - am I to bill them on a seperate claim so that Medicare does not deny them all ??
If I am reading their MLN correct it seems if I file the whole claim with all charges and apply the GX to even ONE line they will NOT pay the entire claim ...
Please clarify ...
Thank you !!!
Can anyone clarify my understanding before we file and lose everything -
If I apply the GX to the specific drug codes ; we know they are not going to pay ... but what about the ADMINISTRATION codes ? Will they pay those ...or do I have to include them with the non-covered charges ?
Also : there are a lot other drugs used that are not a part of the ABN - am I to bill them on a seperate claim so that Medicare does not deny them all ??
If I am reading their MLN correct it seems if I file the whole claim with all charges and apply the GX to even ONE line they will NOT pay the entire claim ...
Please clarify ...
Thank you !!!