decisionhealth Newsletters, Answer Books - 2009 Issue 1 (January)
Hospice Care / Hospice Modifiers
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Article Overview
This article covers hospice billing rules for attending physician services under Medicare, including the distinction between services tied to hospice coverage and services billed outside the hospice arrangement. It is relevant for physicians, hospice providers, and coding/billing staff who need to understand the general policy framework and the hospice modifiers discussed in the article.
Why This Topic Matters
Hospice billing involves overlapping payment responsibility between the hospice and outside practitioners, so accurate modifier use and claim routing affect whether services are billed to Medicare, the hospice, or another payer pathway.
What You Will Learn
- How hospice coverage affects attending physician billing
- The general role of hospice-related modifiers in Medicare claims
- How the article distinguishes hospice-covered services from unrelated services
- Which organizations are involved in the billing/payment context
Who Should Read This
- Physicians
- Hospice billing staff
- Medical coders
- Revenue cycle professionals
- Compliance staff
Modifiers Discussed
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