DecisionHealth, DecisionHealth - 2014 Issue 2 (February)
Mind your modifiers: Verify correct use of hospice modifiers to avoid Medicare recoupments
Use modifiers GW (Service unrelated to terminal condition) and GV (Attending physician not employed or paid under agreement by the patient’s hospice provider) for your hospice patient claims to avoid Medicare denials as payers eye hospice claims for wrongful payments. Ensure the diagnosis codes support your claims for non-terminal illness-related services to prevent recoupments.
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