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Thread: High risk pap

  1. #1
    Join Date
    Apr 2007
    Grand Rapids

    Default High risk pap

    AAPC: Back to School
    When billing Q0091 and/or G0101 to Medicare with dx V15.89 (high risk) do we still get the pt's signature on the ABN?
    Leandra Tufts, CPC, CEMC, COBGC

  2. #2
    Join Date
    Apr 2007
    Tacoma, WA


    Quote Originally Posted by Leandra View Post
    When billing Q0091 and/or G0101 to Medicare with dx V15.89 (high risk) do we still get the pt's signature on the ABN?
    I would. These are still screening codes and if Medicare does an audit and determines the "high risk" not to meet their criteria, they can come back and deny a claim. The only way you would be able to bill the patient is if you had a signed ABN on file.
    Arlene J. Smith, CPC, CEMC, COBGC
    AAPC Tacoma WA Chapter

    President 2015
    Past-President 2013 and 2011
    President-Elect 2010
    Member Relations 2008
    AAPC NAB 2007-2009

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