Forum - Questions & Answers
Enrolled in a Hospice
Doc gave patient a flu shot @ home. We billed it to Healthplus. Healthplus denied the claim stating that pt was enrolled in a hospice during those time. So, I billed it to Medicare & they denied the claim again for the same reason. Am I missing something? Please help. Do I have to use the GV or GW?Thanks!
re: Enrolled in a Hospice
We add GV modifier when it denies "pt enrolled in hospice".
GV - Attending physician not employed or paid under agreement by the patient's hospice provider.
GW - Service not related to the hospice patient's terminal condition
re: Enrolled in a Hospice
Thanks for your feedback. I appreciate it.