HCPCS Level II modifier that may be used with CPT or HCPCS Level II codes indicating pregnancy resulted from rape or incest or pregnancy certified by physician as life threatening. Payment limits do not apply.
Tag: MEDICAL
G8
HCPCS Level II modifier that may be used with CPT or HCPCS Level II codes indicating monitored anesthesia care (MAC) for deep complex, complicated, or markedly invasive surgical procedure.
G9
HCPCS Level II modifier that may be used with CPT or HCPCS Level II codes indicating monitored anesthesia care (MAC) for patient who has history of severe cardio-pulmonary condition.
GA
1. HCPCS Level II modifier that may be used with CPT or HCPCS Level II codes indicating a waiver of liability statement (advanced beneficiary notice) signed by the patient is on file. 2. Abbreviation for general agent. See general agent (GA) .
GAAP
See: generally accepted accounting principles (GAAP) .
GAAP reserves
Insurance reserves that are calculated using generally accepted accounting principles. Also see generally accepted accounting principles (GAAP) .
Gag clause
Provision in a managed care contract that either limits the amount of information that a health care provider may share with a patient or limits the situations in which a provider may recommend a certain alternative treatment when the plan does not cover it. This may be experimental treatments or treatment that may be expensive even if this might be the best course of action for the patient.
Gain from operations
Amount of income that is in excess after benefit and administrative expenses have been accounted for.
Gain-or-loss report
Financial statement for insurance that shows underwriting and investment gains and losses for either an individual case, group of cases, or an entire category of group business.
Gaming
Illegal or unethical attempt to manipulate a system for financial gain such as billing to maximize income by listing a principal diagnosis that puts the patient in the highest-priced diagnosis-related group (DRG) in a prospective payment system (PPS) when a lower-priced diagnosis more precisely depicts the services given for a patient’s medical problem.