tci Medicare Compliance & Reimbursement - 2021 Issue Q1

Reader Questions: Review the Particulars on Billing Medicare for Hospice Care

Question: Medicare recently denied a service that our physician provided to a patient in hospice care. Can we bill the hospice for the services our doctor provided, or should we try the insurance payer to pay for the services rendered? Ohio Subscriber Answer: The hospice is not liable to pay for the services the physician rendered unless your practice and the hospice had a prior arrangement spelling that out. In the absence of such an agreement, you should examine what went wrong with your claim and try to resubmit it to make the claim more accurate. If the physician...

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