AAPC - Back to school
Results 1 to 4 of 4

Thread: hospice billing

  1. #1

    Question hospice billing

    AAPC: Back to School

    I am trying to bill a claim for a patient who has signed up with hospice. We saw her in the hospital. Medicare has denied the claim with the reason of: PR-B9 : Services not covered because the patient is enrolled in a Hospice.

    Do I have to bill hospice patients different then regular patients? Thanks for any help!

  2. #2
    Join Date
    Apr 2007
    North Carolina


    Was the condition related to her hospice condition? If not, you need to bill with a modifier.

    GW modifier “service not related to the hospice patient’s terminal condition.”


    Section 50

  3. #3
    Join Date
    Apr 2007
    Columbus GA


    Rebecca is correct but if the Dx IS related to the hospice stay than you have to bill the hospice that the patient is assigned to.

  4. #4


    Thank you both for your help!

Similar Threads

  1. Hospice Billing
    By debflutter in forum Employment General Discussion
    Replies: 4
    Last Post: 02-12-2013, 02:44 PM
  2. Hospice billing
    By knperry in forum Billing/Reimbursement
    Replies: 1
    Last Post: 01-23-2013, 07:24 PM
  3. Hospice Billing
    By nsoleno@stanfordmedicalbilling.com in forum Billing/Reimbursement
    Replies: 0
    Last Post: 11-29-2011, 08:30 AM
  4. Hospice Billing
    By hollandjl in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 09-28-2009, 05:39 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.