Author Topic: Modifier for Hopsice?  (Read 1745 times)

chris

  • Newbie
  • *
  • Posts: 3
    • CoastalFinancialSolutions
Modifier for Hopsice?
« on: February 18, 2010, 01:12:27 AM »
We recently had a claim rejected because the patient was hospice.  When we filed the claim, we didn't know the patient was hospice.  The provider says the old biller would resubmit with a modifier - but they didn't know which modifier - and the claim would be paid.  What modifier could they be talking about??

Michele

  • Administrator
  • Hero Member
  • *****
  • Posts: 5927
    • Solutions Medical Billing
Re: Modifier for Hopsice?
« Reply #1 on: February 18, 2010, 11:24:19 AM »
If the services provided were unrelated to the Hospice care/condition you can use modifier GW.  There are two modifiers for hospice:

GV for attending physician not hospice

GW- service unrelated to terminal condition

Michele
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

Medical Billing Forum

Re: Modifier for Hopsice?
« Reply #1 on: February 18, 2010, 11:24:19 AM »