G-Codes in Billing & 

Treatments Tab

 

 

Non-billable treatment line items with G-Codes are invoiced the same way as billable CPT code line items. In the Billing > Treatments tab, select the check box adjacent to the row(s) you wish to invoice and then click the Invoice button. G-Code treatment line items and their associated modifiers will be automatically placed on the invoice along with the billable CPT code line items.

 

With the addition of G-Codes, treatments on the Treatments sub tab in Billing display a column to the right of CPT/G-codes that show the modifier(s) associated with the treatment.



Treatment Modifiers and Modifier Rules

 

Modifiers added to a Visit’s treatment record(s) will be applied by ClinicSource to the associated treatment charge on the invoice during the billing and invoicing process. In the event there is a Modifier Rule from the Insurer record that applies, the Modifier Rule and its associated modifier will also be applied to the treatment charge during this process. However, in the event there are more than 3 modifiers to be applied from both the treatment and the Modifier Rules, the treatment modifiers will prevail.

 

Billing > Invoices Informational Tool-tip

 

You can quickly review individual dates of service on an invoice by hovering over the list item with your cursor. This will activate a flyover window, which displays the following information at a glance:

 

  1. DOS


  1. Number of units


  1. CPT Code/Modifiers



Additional G-Codes Resources

 

Please refer to the following additional resources and further reading links for more information about G-Codes:

 

    • Centers for Medicare & Medicaid Services - MM805


    • ASHA: Case Scenarios and Sample Claim Form Entries for Outcomes Reporting


    • ASHA: G-codes and Severity Modifiers for Claims-Based Outcomes Reporting


    • AOTA: Functional Data Collection Requirements for Outpatient Therapy


    • APTA: Functional Limitation Reporting Under Medicare

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