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Urology Coding Alert

Avoid Hospice Coding Headaches With 2 Modifiers

Published on Sat Jan 16, 2010

Differentiating between GV and GW is your first step. If your urologist sees and treats hospice patients, you probably feel like you have to jump through hoops to get paid. The key to bringing in every hospice-related dollar your urologist deserves is ensuring you append the right modifier. Base Modifier GV or GW Choice on Diagnosis When reporting services your urologist provides to a hospice enrolled patient, "the most important thing you need to pay attention to is the correct modifier to use," says Jane Marks, financial services manager at Anne Arundel Urology in Annapolis, Md. "You also need to pay attention to the diagnosis that is on your claim and whether that diagnosis is related to the terminal illness or not." The diagnoses the hospice submits for its patients affect how you bill and what reimbursement (if any) your urologist will receive. If you know which diagnosis the hospice [...]
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