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WHAT CODE TO USE ON FORM UB 92 FOR HOSPICE PATIENTS

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rbolinger:
I have a physician having trouble getting paid for hospice patients. He is a Rural Health Clinic. Also can he get paid for care plan oversight??
They use form UB 92 for their billing. I am trying to find what codes or modifier codes they need to use.

Please help  :)


Robert

Michele:
Hi Robert,
   So are you billing for Hospice services?  If so, you should be using the UB04.  It replaced the UB92 last year.  Very similar, just a few small changes.  Mostly to accommodate the NPI number. 

   As for the codes, you are going to be using rev codes instead of cpt codes. 

   If you need instructions on completing a UB04 form we offer a book that covers each box on the form in detail, and gives you a list of rev codes.  You can find more info on the book at

http://www.medicalbillinglive.com/UB04-forms-book.shtml

Hope that helps!

Michele

rbolinger:

One more question is This physician is a rural clinic provider and tell me they can not bill for care plan oversight. Is they any other info you may give me to let this physician know what all he can bill for on a patient receiving hospice care??


Thanks

Robert

Michele:
It sounds like you are billing for the physicians charges which would go on a CMS1500 form.  Plan oversight can be billed using CPT codes 99339 or 99340. 

Codes 99339 and 99340 report development of complex and multidisciplinary care modalities and/or revision of care plans, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s)(e.g. legal guardian) and /or key caregiver(s) involved in the patient’s care, integration of new information into the medical treatment plan and/or adjustment of medical therapy.

Hope that helps.

Michele

jns85008:
Use a GW modifier for hospice patients. You will get paid!

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