Wiki Hospice billing

[DOMEMARY]

We want to start to bill some of the NURSING HOME pt's that are on HOSPICE for Nursing home visits that pertain to the DX code for Hospice. This is the first time, now here is the kicker, most of them are on Managed Care Plans and I have been told I can bill Medicare of only the visit that would pertain to their DX code for Hospice. I just can't get a straight answer as to what we need, like correct POS, which Mcare says is 34, I know we are to use GV mod. Are we to use the regular 99305-99309 codes or is there some other CPT codes that we need? HELP would be greatly appreciated.

Thanks
Domemary

 

[kbarron]

I do bill nursing homes using the correct codes with the GV modifier. I have not have any problems getting paid.

 

[DOMEMARY]

So, I can bill the regular NH codes with the GV mod. and use place of service 34 or can I use the POS of 31 or 32? Is there a limit how many times a month we can bill for the Hospice visits? Thanks for your reply.

Domemary