Phenomenah
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Hello all,
We've been getting some denials from Fidelis for missing modifiers for physical therapy - in particular, the GP modifier. I was always under the impression that the GP or GO modifiers (for physical therapy) were only used for straight Medicare and Medicare-managed plans, but a rep at Fidelis is saying that for 2017, this requirement changed to include Medicaid plans as well.
Would anyone be able to verify this and show any documentation of this change? I've tried to look on CMS myself, but was unable to find something that states that the requirement of the GP modifier has been changed to include Medicaid plans as well.
Thank you!
We've been getting some denials from Fidelis for missing modifiers for physical therapy - in particular, the GP modifier. I was always under the impression that the GP or GO modifiers (for physical therapy) were only used for straight Medicare and Medicare-managed plans, but a rep at Fidelis is saying that for 2017, this requirement changed to include Medicaid plans as well.
Would anyone be able to verify this and show any documentation of this change? I've tried to look on CMS myself, but was unable to find something that states that the requirement of the GP modifier has been changed to include Medicaid plans as well.
Thank you!