Results 1 to 2 of 2

modifier gv/gw

  1. Default modifier gv/gw
    Medical Coding Books
    My question is that I have received a denial from Medicare for a procedure. They are requesting a refund stating services within a skilled nursing facility period are subject to consolidated billing. Can someone tell me if I should have used a modifier on this procedure? The charge for the visit is not being requested back only the procedure.

  2. #2
    Default
    Quote Originally Posted by ddebbied View Post
    My question is that I have received a denial from Medicare for a procedure. They are requesting a refund stating services within a skilled nursing facility period are subject to consolidated billing. Can someone tell me if I should have used a modifier on this procedure? The charge for the visit is not being requested back only the procedure.
    If my memory serves me correctly that means that the nursing home is responsible to pay you for the services. When I worked for IM and we saw alot of skilled nursing pts we would get those refund request for lab work we did. I would call your Medicare carrier to confirm this info first.
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

Similar Threads

  1. Replies: 2
    Last Post: 09-18-2015, 02:17 PM
  2. Modifier 59 vs Modifier 91 for Laboratory
    By leahrey in forum Modifiers
    Replies: 1
    Last Post: 06-23-2015, 01:01 PM
  3. MODIFIER PT VS MODIFIER 33 Screening Colonoscopy
    By Ann Johnson in forum Modifiers
    Replies: 2
    Last Post: 07-19-2012, 08:08 AM
  4. Modifier 58 versus Modifier 78
    By Ramona03 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-04-2012, 01:10 PM
  5. Modifier 51 Versus Modifier 59
    By Sborkowski in forum Modifiers
    Replies: 3
    Last Post: 05-26-2009, 04:59 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.