Hospice care billing

ppma

Networker
Messages
31
Location
KACHINA
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0
I had a hospital patient who transferred to the hospice care unit in the same hospital. I billed 99203, but Medicare denied. What is the appropriate code I should bill??
 
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1
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0
hospice

Are you billing for a physician who is seeing the patient in the hospice facility? If yes is the physician seeing the patient employed by the hospice facility?
 

ppma

Networker
Messages
31
Location
KACHINA
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0
Yes, he is a hospitalist. I was thinking to rebill with GV also. Thanks for both of you!
 

himanib

Contributor
Messages
22
Location
Lake in the Hills, IL
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0
Services can be billed by physician or other qualified professional such as NP if they are selected to be hospice patient's attending physician. Use modifier -GV if the pt is being seen for hospice terminal diagnosis, and -GW if the pt is being seen for a condition unrelated to hospice terminal diagnosis. In both cases the provider should not be related to/employed by hospice.
 
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