tci Medicare Compliance & Reimbursement - 2005 Issue 3

Hospice: Docs Can't Double-Counsel On Hospice Care

A physician who wants to perform an initial consultation with a patient who is going into hospice care needs to make sure he hasn't duplicated that work with some earlier counseling to the patient about hospice options.That's part of the instructions that the Centers for Medicare & Medicaid Services put out about the new initial hospice consultation code, G0337, which becomes effective in January. In Dec. 3 Change Request 3585, CMS notes the national payment amount for G0337 will be $54.57.The physician can't bill for this code directly. Instead, hospices must bill their regional home health...

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