Wiki HELP HOSPICE BILLING

mscramer

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I am asking for help, i have looked on medicare website: We are a consultant ask to see the patient who was in hospice. Then admitted to the hospital for a reasons other than hospice diagnosis. GW modifier was added, but medicare denies as patient is enrolled in hospice. we used 99222 and 99232 for codes
 
My understanding in situations like this (we are a PCP office) is that we can see the patient as long as the reason for the visit is unrelated to the reason the patient is on hospice. However, in the past we have had a hard time getting claims paid. Wish I could be of more help.
 
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