tci Part B Insider - 2004 Issue 44

Double Counseling Could Cost Hospices $55 Per Patient

If your physician wants to perform an initial consultation with a patient who is going into hospice care, then you need to make sure the physician 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, HCPCS 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...

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