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Modifier code hospice patient

  1. Default Modifier code hospice patient
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    I specialize in outpatient ambulatory surgery center facility billing and medicare part b denied our claim saying patient was enrolled in a hospice program at the time of service. The claims and service in question is not hospice condition related. Is there a modifier code that can be used by the asc facility? I researched and found that physician offices can use gv and gw on their billings.
    Thanks!

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    Quote Originally Posted by RROARK View Post
    I specialize in outpatient ambulatory surgery center facility billing and medicare part b denied our claim saying patient was enrolled in a hospice program at the time of service. The claims and service in question is not hospice condition related. Is there a modifier code that can be used by the asc facility? I researched and found that physician offices can use gv and gw on their billings.
    Thanks!
    I believe you can use the same modifiers. That is the way to signify that services are not being paid under the hospice arrangement with the care the patient is receiving.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

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