Did you know modifier GP is being adopted by additional carriers as a requirement for reimbursement of physical medicine services?
These plans include…
Welcome to your billing and coding weekly solutions by American Acupuncture Council Network (AAC).
Did you know modifier GP is being adopted by additional carriers as a requirement for reimbursement of physical medicine services?
These plans include Blue Cross Blue Shield of Michigan, Blue Cross of California (Note: This does not include Blue Shield of California), BCBS plans of Indiana, Kentucky, Missouri, New Jersey, New York (Empire), Ohio, Vermont, and Wisconsin. (*Note: If it is an Anthem policy there will also be a need for modifier GP.
All physical medicine codes 97010 through 97799 (PT codes) billed to these plans must be appended with a GP or they will be denied as having a missing or incomplete modifier.
Remember, billing with incorrect acupuncture CPT and ICD codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business.
If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then American Acupuncture Council Network is your solution.
American Acupuncture Council Network stays ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines.
There is a reason acupuncturists have trusted AAC with their business for over 30 years.
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