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Thread: D/C and Re-Admit to Hospice the same day

  1. #1
    Join Date
    Apr 2007

    Question D/C and Re-Admit to Hospice the same day

    AAPC: Back to School
    I need some insight on the following:

    Patient was admitted to the hospital on 1/16/2010.

    The first day here 1/16/2010 the hospital had Medicaid as the insurance. Hospice was requested and on 1/17/2010 the doctor did a discharge from regular admit to a new H&P for admission under Hospice.

    The hospital did not bill Medicaid for the admission, they billed Hospice -- now Medicaid is not going to pay. I need some input on what I should do with the billing for 1/17/2010 even though the doctor did an H&P and a discharge summary.

    Do I bill 1/17/2010 as a subsequent with the GV modifier? (99232-GV) or do I bill another admit with the modifier: 99223-GV?

    Thanks in advance for your help.
    Karen, CPC
    Physician Chart Auditor

  2. #2


    I would do the hospital admit on the first day, and the hospice admit (using the hospital discharge information also) with a modifier GV on the 2nd day.

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