DecisionHealth, DecisionHealth - 2004 Issue 2 (February)
New billing opportunity for hospice consults, starting in 2005
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Article Overview
This article explains a new Medicare billing opportunity related to hospice educational consultations beginning in 2005. It covers the policy change under the Medicare Prescription Drug, Improvement, and Modernization Act, the type of patient counseling involved, and why the change matters for hospice organizations, physicians, and Medicare billing workflows. The article also notes that formal billing instructions had not yet been issued at the time of publication.
Why This Topic Matters
It helps readers understand an upcoming Medicare payment change affecting hospice-related consultative services and anticipate how the new benefit may influence referrals, counseling practices, and billing processes.
What You Will Learn
- The Medicare policy context behind the new hospice consult billing opportunity
- What general categories of patient counseling the service includes
- Why the benefit may affect hospice physicians and referring providers
- Why billing guidance and implementation details matter for this service
Who Should Read This
- Hospice physicians and medical directors
- Medicare billing and coding staff
- Hospice administrators
- Palliative care providers
- Referring physicians
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