Patient specific functional scale highmark

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As of July , all claims will be denied if G-codes and their modifiers are not used. You will always need to include 2 of the 3 codes in a set. You will either use the current status code with the goal status code or the current status code and discharge code.

Modifiers are needed to more accurately show the level of functional status the patient currently has and the goal being reached. There are a total of seven modifiers to choose from:. When submitting claims for Medicare it is still necessary to append the GN modifier to show the service is being performed as outpatient speech-language pathology.

Our sole objective is to move your office to a more efficient and effective work process so that your claims reimbursement is at its maximum. Our staff is here to help you and your office succeed in preparing claims and getting reimbursed. Contact us today to see how we can be the best asset to your office by helping you get paid fast and efficiently. What should you be including in your documentation? How do I know which G-code to use?

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