AAPC - Back to school
Results 1 to 2 of 2

Thread: Hospice patients

  1. #1
    Join Date
    Apr 2007
    Kalamazoo MI

    Default Hospice patients

    AAPC: Back to School
    I'm getting mixed messages on this one. I am told that when my oncologists are NOT THE attending provider and sees a patient who is in hospice we cannot bill for that DOS. But the billing department at the our hospice says yes we can bill. Even when the patient is not in our local hospice care that patient can see whom ever they want and we can bill for that DOS if the patient comes to our office. So any help or response on this matter will be greatly appreciated. Or if someone could point me in the direction on the cms web page for this in black and white
    Last edited by JMGEYER; 10-15-2008 at 08:38 AM. Reason: my mistake should have been NOT THE attending provider

  2. #2

    Default Hospice

    Hi, there are modifiers to use when the attending physician sees a hospice patient:

    GV-not employed or have any financial gain (i.e. med director) of that particular hospice agency.

    GW-dx that you are billing is unrelated to the hospice dx (in your case not likely)

    Without a modifier Medicare will deny as 'patient enrolled in a hospice'.

    You would need to search on CMS within the regulations not sure of the Reg#

    Hope this helps~

    Brenda Koski, CPC

    Brooklyn CT

Similar Threads

  1. Hospice Patients
    By lcathey@smsc.org in forum Medicare Regulations
    Replies: 2
    Last Post: 12-31-2013, 09:10 AM
  2. Hospice Patients
    By jmarie83 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-13-2012, 06:34 AM
  3. Billing for hospice patients
    By rescue16_99@yahoo.com in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 12-19-2011, 02:20 PM
  4. Hospice Patients
    By JOGelico in forum E/M
    Replies: 9
    Last Post: 03-16-2008, 09:26 AM

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.