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Medicare HMOs requiring completion of ABNs

Leandra

Guru
Messages
167
Location
Grand Rapids, MI
Can any other payers out there verify for me if they are now requiring providers use ABNs for non-covered services - just as we have been doing for Traditional Medicare? We were recently informed that Priority Health Medicare DOES now require ABNs but we do not have an effective date. We have not received any rejections, as of yet, for claims that do not have ABN status indicated with modifier GA, GY or GZ. We have emailed our payer reps to get input but wanted to see what others are doing as well. Thanks for any input. :eek:
 
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