Billing Beat

GA and GY modifier use

January 28, 2016

UCare has received several questions from providers regarding the January 26, 2015, bulletin instructing providers to discontinue use of the ABN, including questions on when the GA and GY modifiers would be applicable. Advance Beneficiary Notices (ABN’s) are not intended for use with individuals enrolled in Medicare Advantage plans. On January 1, 2016, UCare will implement several changes to consistently process Medicare claims billed with the GA and GY modifiers. Please see UCare FAQ bulletin on this topic.

Source: https://www.ucare.org/providers/Documents/Dec_2015_Bulletin_ABN.FAQs.pdf?utm_source=Frequently%20Asked%20Questions%20regarding%20Advanced%20Notices%20of%20Non-Coverage&utm_campaign=Frequently%20Asked%20Questions%20regarding%20Advanced%20Notices%20of%20Non-Coverage&utm_medium=email

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