Physician Reimbursement
Referring a patient to hospice doesn't mean sacrificing reimbursement options. Here are some tips to help make the process smooth and straightforward.
Physician Billing Codes
• Medicare Reimbursement for Advance Care Planning:
- CPT 99497 covers the initial 30-minutes of discussion
- CPT 99498 covers each additional 30-minutes of discussion
Billing Code Modifiers
GV
Attending Physician not employed or paid under agreement by the patient’s hospice provider
When a physician provides services to a patient who has elected hospice care and the services are related to the patient’s terminal condition, but the physician is not an employee of the hospice program.
GW
Service not related to hospice patient’s terminal condition