decisionhealth Newsletters, Part B News - 2004 Issue 11 (November)
Hospice health directors can bill for consults
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Article Overview
This article explains a Medicare hospice consult benefit available to physicians employed by hospices, including the general purpose of the service, documentation expectations, and who may provide it. It also includes a fee-schedule-based roundup of selected CPT and HCPCS services with notable 2005 payment changes. The piece is relevant to hospice providers, physicians, and coding/billing professionals tracking Medicare payment updates and new service reporting guidance.
Why This Topic Matters
It helps readers identify a new Medicare hospice-related service and understand that the article also contains a separate payment-change table affecting multiple procedure codes. That makes it useful for reimbursement, compliance, and fee schedule monitoring in hospice and physician billing settings.
Article Sections
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Hospice health directors can bill for consults
Overview of a new Medicare hospice-related consult benefit, including the general service purpose, provider participation, and related documentation and payment context.
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15 codes with big pay boosts in 2005
A summary table of selected CPT and HCPCS services with notable increases in 2005 Medicare physician fee schedule payments.
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15 codes with big pay cuts in 2005
A summary table of selected CPT and HCPCS services with notable decreases in 2005 Medicare physician fee schedule payments.
What You Will Learn
- How Medicare describes a hospice-related consult benefit for terminally ill patients
- What broad documentation and provider considerations are mentioned for the hospice consult service
- Which types of procedures appear in the article’s 2005 payment-change tables
- How the article frames Medicare physician fee schedule changes for selected services
Who Should Read This
- Hospice administrators
- Hospice medical directors
- Physicians
- Medical coders
- Medical billers
- Revenue cycle staff
- Compliance professionals
Codes Discussed
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