tci Part B Insider - 2007 Issue 36

READER QUESTIONS: Don't Forget Modifiers For Hospice Patients

Close relationship with hospice billers helps avoid denialsQuestion: We keep receiving denials from Medicare because our patients have elected hospice services. We don't find out the patients have hospice care until we receive the denials. Is there any way to recoup those charges? Answer: When a patient elects hospice, he or she must choose one -attending- physician who provides all relevant medical services. You must use two modifiers (GV and GW) to specify whether your physician was treating the patient's terminal illness.If the physician's services were related to the hospice patient's terminal illness then you should use GV...

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