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Thread: Preventive Visit

  1. #1

    Default Preventive Visit

    AAPC: Back to School
    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...


  2. #2
    Join Date
    Apr 2007
    Gainesville, GA

    Default 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.

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