ElisM_57758
New member
Hello,
Currently the ABN triggers for MFFS (Medicare Fee For Service) with the New ABN the waiver applies to a patient who has Medicare as primary and Medicaid as secondary. When we have a valid ABN on file after 8/31/2020 will be be appending a GA for that Medicaid claim also? Currently at my facility the NONC triggers and we do not append any modifier indicating the NONC status. If the ABN is now duel for a patient who has both Medicare and Medicaid then wouldnt we appened a GA and bill to Medicaid for those services failing medical necessity? thanks
Currently the ABN triggers for MFFS (Medicare Fee For Service) with the New ABN the waiver applies to a patient who has Medicare as primary and Medicaid as secondary. When we have a valid ABN on file after 8/31/2020 will be be appending a GA for that Medicaid claim also? Currently at my facility the NONC triggers and we do not append any modifier indicating the NONC status. If the ABN is now duel for a patient who has both Medicare and Medicaid then wouldnt we appened a GA and bill to Medicaid for those services failing medical necessity? thanks