Medical practices find the hospice modifiers confusing, and confusion leads to denials and payment delays.
Use the decision trees below to help you determine if the service is separately billable once a patient has elected hospice and if so, how to bill it.
There are two decision trees:
- one for the attending physician and
- one for other physicians, PAs and NPs.
Walk through the decision tree to see which modifier to use, modifier GW or modifier GV. For a detailed explanation, read the article Billing physician services for hospice patients
Login to access this content |
Don’t have a login? Become a member, or learn more about the benefits of membership by clicking on the link below.
Get Unlimited Access to CodingIntel’s Online Library
Are you a coder, biller, administrator,
office manager or physician?
Learn more about the benefits of
a CodingIntel membership