CMS 2012 data: Modifier GA doesn’t mean automatic denials
Effective Jun 23, 2014
Published Jun 23, 2014
Last Reviewed Jun 20, 2014
The modifier
GA (Waiver of liability on file) indicates that you gave the patient an advanced beneficiary notice of non-coverage (ABN), and you’re only supposed to do that if you have good cause to believe the claim will be rejected – otherwise you could get in trouble for issuing “blanket” notices (
PBN 5/6/13). Yet surprisingly, only 21% of codes filed with GA have a 100% denial rate. And some of the codes most often submitted with GA are denied less often than they are without the modifier.
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