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Billing for hospice patients

  1. Default Billing for hospice patients
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    I'm a brand new CPC and need lots of help!

    Can I charge for E/M visits for patients on hospice if the care is unrelated to the reason they are in hospice? For example, injury from a fall while in hospice? Would I just use the GW modifier to indicate that services rendered weren't associated with the hospice care?

    I appreciate any help you can provide.

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    Quote Originally Posted by lunn5310@comcast.net View Post
    I'm a brand new CPC and need lots of help!

    Can I charge for E/M visits for patients on hospice if the care is unrelated to the reason they are in hospice? For example, injury from a fall while in hospice? Would I just use the GW modifier to indicate that services rendered weren't associated with the hospice care?

    I appreciate any help you can provide.
    "Professional services of attending physicians, who may be nurse practitioners, furnished to hospice beneficiaries are coded with modifier GV. (Attending physician not employed or paid under arrangement by the patient's hospice provider); the GW modifier is billed for services unrelated to the terminal illness
    CMS Pub 100-4, Chap 11 Section 40.2; or CR 3226 "

    This answer was previously posted in the forums...I found it in a Google search about Hospice coding and billing.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

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