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Physician Billing Guide

Can I bill for my visit once my patient elects hospice?

The answer is yes! As your patient’s primary care or consulting physician not affiliated or under contract with your patient’s hospice provider, you can bill Medicare for your services provided.

How?

Modifiers are the key!

What scenario belongs to you?

Primary physician’s visit is related to the patient’s terminal diagnosis…

Use modifier GV

Primary physician’s visit is not related to the patient’s terminal diagnosis…

Use Modifier GW

Covering physician is a member of the primary physician’s practice…

Use modifier Q5 &GV or GW

Covering physician is not a member of the primary physician’s practice…

Use modifier Q6 &GV or GW

If you have any billing questions for your patients who are receiving hospice, please feel free to contact us at 224-770-2422 or 224-770-2426.