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  • RHC Reporting Requirements - Centers for Medicare Medicaid Services
    Effective April 1, 2016, RHCs are required to report a HCPCS code for each service furnished along with an appropriate revenue code For claims with dates of service on or after April 1, 2016, RHCs should follow the reporting requirements for modifier CG found in MLN Matters Article SE1611
  • RHC reporting requirement – Modifier CG - Novitas Solutions
    Rural health clinics (RHCs) shall report modifier CG (policy criteria applied) on RHC claims and claim adjustments You should report modifier CG on one line with a medical and or a mental health HCPCS code that represents the primary reason for the medically necessary face-to-face visit
  • CG MODIFIER for RHC | Medical Billing and Coding Forum - AAPC
    My question is when is this appropriate and when is it not to use the New CG modifier for a RHC? If I am understanding this correctly the CG would be attached to only the preventive HCPC codes and preventive 99406 and 99407 (codes G0436 and G0437 are no longer existent for tobacco sensation)
  • RHC Coding and Documentation NRHRC - ruralcenter. org
    RHCs must report modifier CG on one revenue code 052x and or 0900 service line per day, for the bundled service This indicates the service line is subject to coinsurance and deductibles They must be bundled with the RHC encounter They are not separately billable or payable
  • Jurisdiction M Part A - Rural Health Clinics (RHCs) Reporting . . .
    Answer: Yes If only preventive services for which the coinsurance and or deductible are waived are furnished during the visit, the RHC should report HCPCS modifier CG with the preventive HCPCS code that represents the primary reason for the visit and the bundled charges
  • Jurisdiction J Part A - Rural Health Clinics (RHCs) Reporting . . .
    Answer: RHCs should report HCPCS modifier CG on one line with a medical and or mental health HCPCS code that represents the primary reason for the medically necessary face-to-face visit
  • PREVENTIVE SERVICES FOR RHCS: BEYOND ANNUAL WELLNESS VISITS
    “If only preventive services for which the coinsurance and or deductible are waived are furnished during the visit, the RHC should report modifier CG with the preventive HCPCS code that represents the primary reason for the visit ”
  • CG Modifier - National Association of Rural Health Clinics
    Typically, only one line of the claim requires the CG modifier The principle exception to this is if you provide BOTH a Medicare covered medical visit and a Medicare covered mental health visit to the same patient during the same visit, then both lines would have the CG modifier
  • Does G2025 require CG modifier? - InsuredAndMore. com
    For distant site services rendered between January 27th, 2020, and June 30th, 2020, RHCs must bill G2025 with modifier CG After July 1, RHCs will no longer need modifier CG
  • FQHC RHC Billing Provider Cheat Sheet - Molina Healthcare
    RHCs can report modifier 25 or modifier 59 when the patient has a subsequent visit on the same day Modifier 25 or modifier 59 signifies that the conditions being treated are totally unrelated and services are provided at separate times of the day and that the condition being treated was not present during the visit earlier in the day





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