[et_pb_section fb_built=”1″ fullwidth=”on” _builder_version=”4.21.0″ _module_preset=”default” da_disable_devices=”off|off|off” global_colors_info=”{}” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” da_dark_close=”off” da_not_modal=”on” da_is_singular=”off” da_with_loader=”off” da_has_shadow=”on”][et_pb_nextend_smart_slider_3_fullwidth slider=”19″ _builder_version=”4.21.0″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_nextend_smart_slider_3_fullwidth][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” background_color=”#FFFFFF” da_disable_devices=”off|off|off” global_colors_info=”{}” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” da_dark_close=”off” da_not_modal=”on” da_is_singular=”off” da_with_loader=”off” da_has_shadow=”on”][et_pb_row column_structure=”1_2,1_2″ _builder_version=”4.16″ _module_preset=”default” locked=”off” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.22.2″ _module_preset=”a95d1291-4312-4432-b9f9-e0f5149ec6ad” hover_enabled=”0″ global_colors_info=”{}” header_2_font=”|700|||||||” header_2_text_color=”#00A7B5″ sticky_enabled=”0″]<\/p>\n
[\/et_pb_text][et_pb_text _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”]<\/p>\n
If your patient is covered by private insurance or Medicaid, you should bill for services as you would do normally. If your patient is covered by Medicare, the Federal government has established some billing guidelines, which we provided below. Each patient is evaluated by our team of specialized RN’s and our Medical Director on a case by case basis to ensure the appropriate plan of care is provided.<\/p>\n
[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_image src=”https:\/\/unitedhospiceinc.org\/wp-content\/uploads\/2021\/11\/Untitled-design-13.png” title_text=”Untitled design (13)” _builder_version=”4.16″ _module_preset=”default” border_radii=”on|35px|35px|35px|35px” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” background_color=”rgba(0,167,181,0.07)” da_disable_devices=”off|off|off” global_colors_info=”{}” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” da_dark_close=”off” da_not_modal=”on” da_is_singular=”off” da_with_loader=”off” da_has_shadow=”on”][et_pb_row _builder_version=”4.16″ _module_preset=”default” custom_padding=”0px||||false|false” locked=”off” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.16″ _module_preset=”a95d1291-4312-4432-b9f9-e0f5149ec6ad” header_3_text_align=”center” global_colors_info=”{}”]<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.16″ _module_preset=”default” custom_padding=”0px||||false|false” locked=”off” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_blurb title=”Attending Physician or Nurse Practitioner Services ” icon_placement=”left” content_max_width=”100%” _builder_version=”4.16″ _module_preset=”default” header_font=”|600|||||||” header_text_color=”#234561″ header_font_size=”24px” global_colors_info=”{}” header_3_font_size_tablet=”32px” header_3_font_size_last_edited=”on|phone” header_3_font_size_phone=”32px”]<\/p>\n
When a Medicare beneficiary elects their hospice benefit, they are required to designate an Attending Physician or Nurse Practitioner.\u00a0A hospice patient can have only one Attending Health Care Practitioner at a time. The patient has the right to change their designation at any time.<\/p>\n
[\/et_pb_blurb][et_pb_blurb title=”Hospice Related Health Care Practitioner Services ” icon_placement=”left” content_max_width=”100%” _builder_version=”4.16″ _module_preset=”default” header_font=”|600|||||||” header_text_color=”#234561″ header_font_size=”24px” global_colors_info=”{}” header_3_font_size_tablet=”32px” header_3_font_size_last_edited=”on|phone” header_3_font_size_phone=”32px”]<\/p>\n
Professional services rendered by the Attending Health Care Practitioner for the treatment and management of a hospice patient\u2019s terminal illness are billed directly by you to your Medicare Part B Contractor. The Attending Health Care Practitioner codes the bill using a GV modifier. The GV modifier informs Medicare that the services provided are by the Attending Health Care Practitioner who is not an employee of the hospice and is treating the patient for services related to the terminal diagnosis. The Medicare Part B contractor pays the Health Care Practitioner based on the payment and deductible that are applicable.<\/p>\n
[\/et_pb_blurb][et_pb_blurb title=”Non-Hospice Related Health Care Practitioner Services ” icon_placement=”left” content_max_width=”100%” _builder_version=”4.16″ _module_preset=”default” header_font=”|600|||||||” header_text_color=”#234561″ header_font_size=”24px” global_colors_info=”{}” header_3_font_size_tablet=”32px” header_3_font_size_last_edited=”on|phone” header_3_font_size_phone=”32px”]<\/p>\n
Services not related to the patient\u2019s terminal diagnosis should be billed to the carrier using the GW modifier. This modifier informs Medicare that the service is not related to the patient\u2019s terminal diagnosis.<\/p>\n
[\/et_pb_blurb][et_pb_blurb title=”Covering Physician ” icon_placement=”left” content_max_width=”100%” _builder_version=”4.16″ _module_preset=”default” header_font=”|600|||||||” header_text_color=”#234561″ header_font_size=”24px” global_colors_info=”{}” header_3_font_size_tablet=”32px” header_3_font_size_last_edited=”on|phone” header_3_font_size_phone=”32px”]<\/p>\n
In the event of an Attending Health Care Practitioner\u2019s absence and there is a covering health care provider, the Attending Health Care Provider bills for the services of the substituting provider under the reciprocal or locum tenens billing instructions. The Attending Health Care Provider uses the GV (related service) or GW (not related) modifier in conjunction with the Q5 or Q6 modifier.<\/p>\n
[\/et_pb_blurb][et_pb_blurb title=”Contractual Agreement with United Hospice (UH) ” icon_placement=”left” content_max_width=”100%” _builder_version=”4.16″ _module_preset=”default” header_font=”|600|||||||” header_text_color=”#234561″ header_font_size=”24px” global_colors_info=”{}” header_3_font_size_tablet=”32px” header_3_font_size_last_edited=”on|phone” header_3_font_size_phone=”32px”]<\/p>\n