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Modifiers

I am a sonographer who has been doing billing and credentialing for about a year for the small OB clinic I work for.  I have been billing medicaid MCO's for 99204 or 99214 modifier 25 with Q0091...

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Re: Modifiers

I don't know what State Medicaid is involved so I can refer you to the correct Medicaid website.This is what I found from...

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Re: Modifiers

Thank you, I did forget to mention I am in Kentucky.

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Re: Modifiers

The problem here is that: 1. You are dealing with Humana 2. You are dealing with a Humana MCO Humana, in my experience/opinion, tends to make up their own rules for claim processing. I deal with them...

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Re: Modifiers

Append modifier GA to HCPCS code Q0091. GA modifier is for advance beneficiary nNotice (ABN), also known as a waiver of liability, is a notice you should receive when a provider or supplier offers you...

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Re: Modifiers

This is all I was able to find:https://www.acog.org/~/media/Departments/Coding/2013MedicarePreventiveServices.pdf

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