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 H.J. Ross Company where getting your bills paid is what we do best!

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. In cases in which you need an added modifier such as 59, use both modifiers on the claim.

Billing with incorrect chiropractic CPT 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 H. J. Ross Company is your solution.

H.J Ross Company 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 chiropractors have trusted H.J. Ross Company with their business for over 40 years.


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