Patient is covered under secure horizons-recently went into hospice (which means anything hospice related will be paid by Medicare direct and not sec horizons). Patient fell out of bed while in hospice went to the hospital and had surgery. Now since this falls out of the hospice treatment secure horizons would need to pay for the consult and surgery performed right? The claim is denied by sec horizons stating that this is hospice related and should be billed as such.....but medicare will deny since this is an acute injury.....or am I way off base