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Thread: Need quick help!

  1. #1
    Join Date
    Apr 2007

    Red face Need quick help!

    AAPC: Back to School
    I have a question. I have a patient who has Panncreas cancer and is in the care of Hospice and is on Medicare. How do I bill Hospice for an office visit (face to face)? I understand that Medicare sets aside amount of money for Hospice care so Medicare is dening my claims. Thank you for your help!


  2. #2
    Join Date
    Apr 2007


    rebeccawoodward just posted a great link in one of the forums about hospice. Unfortunately I dont remember which one now.

    If you go to the search engine, type in hospice and click on show threads, you will find lots of good information regarding this subject.

    Hope this helps
    Last edited by mbort; 09-09-2008 at 11:22 AM. Reason: typo

  3. #3


    you would use the GV modifier, unless there is an agreement with the hospice agency to provide consultation services. In that case, you would bill the hospice agency directly.

    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

  4. #4
    Join Date
    Apr 2007


    Thank you sooooooooooo much for your fast response!! I will try using the modifier GV.

    Thanks, Karen

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