Wiki Modifier GW

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peeya

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I am getting quite a few denials from Medicare for the Ekgs done on patients belonging to Nursing facilities.. Can I use the GW modifier? Please help .
 
GW modifier

you can only use the GW modifier if the pt is in hospice care and the services are not related. The other issue is if the patient is is a skilled nursing facility-Medicare will not pay the provider for this service - you will need to bill the nursing facility. Check to see what the rejection on the Medicare eob states. Hope this helps
 
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