In a review of Hospice services in the HCPC's coding book I am finding that this is a Medicare Part A service. My previous experience indicates this is accurate however, there is a suggestion that the provider that certifies the service can be the billing provider of an office setting. Is this appropriate in the office setting or is this to be done by the Hospice through an arrangement to pay the MD? I am asking because I am unable to locate records that indicate the certification is being done and the Hospice is one that is facility based. The codes that we are instructed to use are G0179, G0180. G0182 is an additional code that I have found using the Medicare Billing Guides and this one includes time, which I am assuming also requires documentation.

Please let me know if anyone has any guidance regarding Part B providers billing for this service.