stephcova33
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I need help with billing a hospice visit. I have tried the GW modifier and it sends the claim back. Should a 25 modifier be billed with the GW as well? Any feedback is greatly appreciated!
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Wiki Billing Hospice Modifier
- Thread starter stephcova33
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AmyA2013
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The GV modifier is used when a physician is providing a service that is related to the diagnosis for which a patient has been enrolled into hospice. This physician is not associated with the hospice, and is providing services as a private physician
The GW modifier is used when a physician is providing a service that is not
related to the diagnosis for which a patient has been enrolled into hospice. This physician is not associated with the hospice, and is providing services as a private physician.
For more information on properly billing GV and GW modifiers, see CMS Pub 100-4, Chap 11 Section 40.2
Hope that helps!!
The GW modifier is used when a physician is providing a service that is not
related to the diagnosis for which a patient has been enrolled into hospice. This physician is not associated with the hospice, and is providing services as a private physician.
For more information on properly billing GV and GW modifiers, see CMS Pub 100-4, Chap 11 Section 40.2
Hope that helps!!