Wiki Preventive Visit

[Partha]

When Medicare denies G0101, Q0091 for max coverage met, can we bill secondary 99381-99397 as appropriate.

And when Medicare pays G0101, Q0091 can we carve out and bill balance to secondary or the patient.

Seems tricky...

Thanks!

 

[sjackson]

medicare

My understanding is that you may only balance bill a medicare patient IF they signed an ABN for that procedure or service. You need to include modifier QA on your claim.