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Thread: GA-GY-GZ Modifiers

  1. #11

    Question Abn

    AAPC: Back to School
    So, is the solution not generating an ABN for dexas? If you have a signed ABN, the patient pays. If you don't have an ABN at all, there is a chance
    that it will get paid, but if it doesn't, we pay? I find this all very confusing!
    Someone else must be having this problem.

  2. #12
    Join Date
    Apr 2007
    Columbia, MO


    the issue here stems from about 2 years ago when the OIG isssued a statement that they were very "concerned" about the overutilization of ABNs. Honestly from my observations I think they were correct. What they are doing now does force you to know when an LCD or NCD has been met by the dx or you need to know when an item is covered or non covered. Good idea???? maybe!

    Debra A. Mitchell, MSPH, CPC-H

  3. #13


    I think you might be right. Thanks!

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