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CAPCconnect™ palliative care discussion forum

Billing and Finance


Number of threads on this Forum: 284
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Subject Author Posts Last Post
Description
Post Outpatient Clnic RVU target egafford 1 06/14/2013
What is the average number of RVUs generated in a 1/2 day outpatient Palliative Clinic?
Post 1995 audit tool questions ChrisJ 2 06/13/2013
3 total questions. In looking at the "High Risk" items in Medical Decision Making, parenteral opioids jumps out to me as something we use frequently in HPM. Are any auditors treating a fentanyl patch a "parenteral opioid" for Risk calculation? In the M ...
Post ARNP billing for an inpatient PC program joanng 2 06/08/2013
We have an inpatient palliative care team and are adding a physician to our team for the first time. We are all employed by the hospital. Is it possible for the ARNP to bill for services and if so what are those services? How do I find out the codes? I ha ...
Post TCM (Transitional Care Management) 99495 & 99496 fostvedtc 2 06/08/2013
Re: Palliative Care billing TCM Has anyone adopted the use of TCM services and been reimbursed by Medicare?
Post Out patient Palliative Care Program hrrv 2 05/15/2013
I work for a Hospice agency. We are interested in knowing more about reimbursement for outpatient palliative care. Can it be billed under Medicare B? All visits would be on an outpatient basis. Any information on this subject would be very much appreciate ...
Post Initial Observation Care Hmcadams 2 05/10/2013
Are any Palliative Care Programs billing for initial observation care 99218-99220?
Post Ballpark charge for Medicare? mkempton 2 05/03/2013
We are budgeting for our next fiscal year and our palliative care inpatient consult service that will begin at that time. However we are learning how to properly bill for palliative care consults and were wondering if anyone could provide us with what th ...
Post Medicaid P.C. Dx billing sabrina 2 04/19/2013
We are a pediatric sub specialty group with palliative care providers; in and out pt services both. I am having a great deal of trouble with what Dx to bill MCD as they are denying V66.7 and V61.9 as neither being acceptable for primary Dx. If our provi ...
Post Billing for pediatric medicaid - inpatient Meggan 2 04/02/2013
Can any physician speak on how they bill for medicaid pediatric patients that are inpatient and have a palliaitve consult? Thanks
Post Billing clarification for non-hospice employed MD cmills109 2 04/03/2013
Just want to be sure I am explaining this accurately to my peers. When a non hospice employed physician is the attending of record for a hospice pt, he can still bill his visit to part B even if it is related to the hospice dx? Y/N If a consultant who is ...
Post Medicare Incentive Programs bmartin 2 05/31/2013
We have an outpatient-based palliative care physician practice in addition to our hospice program. Our palliative care billing is done internally from hospice software that accomodates physician billing but is not EHR-certified and is not equipped for ph ...
Post Initial H & P alcalcthmpsn 2 03/20/2013
Hello, Does anyone know the Maryland state law for completion of SNF encounters particularly when should the provider have the Initial H & P documented and signed? Thanks in advance!
Post Palliative Care Commercial Billing vish 2 03/22/2013
Hi, Do we need to get an Authorization for the patients that our PC physician visits in the Hospital? Also, does the physician/Medical group need to have a contract with the Ins Co, so that they can bill. If our PC goes to visit the patient at home, do ...
Post Medicare: STIP vs. inpt comfort care w/ PC consult kpoinier 2 04/10/2013
Hello, Is there any information regarding either reimbursement or hospital rating if a patient dies in the hospital while on hospice during an STIP admission/transition vs. being on the hospitalist census with comfort care and a PC consult? We have a ne ...
Post Outpatient SW billing DharmaDoc 2 02/28/2013
Can a social worker bill for services provided in the Outpatient Palliative Medicine clinic? My finance people are saying they can only bill if they are part of a mental health clinic. Thank you.
Post Palliative Care / ACO / Third Party Payors mcevoymk 2 02/22/2013
Is there any literature or paper describing / exploring the role of Palliative Care in an ACO or related to healthcare reform that would provide us guidance in working with third party payors in value based contracting? Thank you.
Post Contract compensation JamesYoung 2 02/15/2013
I am board certified with 19 years experience and the Hospice and palliative care Director for my local hospital. i am a contract laborer. My questions are: 1. what is the average or range of hourly compensation for a contract laborer.I could find this f ...
Post PC visit same day as Hospice election jmwbilling 5 05/23/2013
We have a Hospital Palliative Care Program that operates under the same TAX ID as our Hospice program. The PC physician (who is only contracted/employed for Palliative Care) makes a Palliative Care visit early in the day and recommends Hospice to the pa ...
Post Coding, Billing, Documentation vjhirsch 2 01/29/2013
At the risk of seeming to be poorly informed on palliative care reimburement (ran my own Oncology Clinic for 20 years) it seems there is still so much confusion regarding coding, billing, and documentation. Having 30+ years in hospice and palliative care ...
Post Billing for Outpatient Palliative Care dberk 1 01/24/2013
I work for a large academic medical center with a specialized cancer center. We are reviewing how to best bill for outpatient palliative care services. I can see based on the many threads this might not be a straighforward answer. The question is - A p ...
Post Documentation Annecodes 2 01/29/2013
MD works with NP. NP records the note. MD documentation is limited to note below. Does MD note support billing by the MD? Time Spent 15 total min with >50% spent in counseling or coordination of care face-to-face with patient and family. Signed by N ...
Post Hospice evaluation billing aherman 2 01/22/2013
I spoke with a colleague of mine (medical director of a hospice, employed by the hospice agency)and they made a comment I was not clear on. if a hospice evaluation is requested on a hospitalized patient, they could have a goals of care discussion review ...
Post Billing using pediatric critical care codes siegel01 3 01/10/2013
I'm not sure if I should post this here or in pediatrics, but will try here first. I am a pediatric intensivist and palliative care medicine physician. When I am doing palliative care, I know that I should be able to bill adult critical care codes (9929 ...
Post Palliative care billing dengholm 2 01/04/2013
Does anyone have any advice for what can be billed by a small 50 bed hospital for palliative care. Are the only codes available for billing 99221-99223? Thank you, Debi
Post Medical Billing for Advance Care Planning jlashley 2 12/05/2012
I am inquiring as to the billing codes and reimbursement for advance care planning discussions (if any) in the private medical practice setting.Thanks for your help.
Post Palliative Billing MBilling 2 11/27/2012
Can an independent NP bill 99221-99223 or do you need to use subsequent visit codes (99231-99233)for inpatient non hospice patient palliative visits? Thanks for the help !
Post terminal illness related versus non terminal alcalcthmpsn 2 11/14/2012
Hello, If a patient has Pancreatic Cancer and the provider is called to see the patient for nausea and vomiting or Abdominal pain- is this considered part of the terminal illness (Pancreatic Cancer) or a separate diagnosis? I might just be splitting ...
Post terminal illness related versus non terminal alcalcthmpsn 2 11/27/2012
Hello, If a patient has Pancreatic Cancer and the provider is called to see the patient for nausea and vomiting or Abdominal pain- is this considered part of the terminal illness (Pancreatic Cancer) or a separate diagnosis? I might just be splitting ...
Post Palliative Care MBilling 2 11/14/2012
After going to the billing tools, I found a sample claim form. On there it listed the V66.07 (palliative care code). If I don't use that code, and just go with the CPT code, is there an identifier that will tell the insurance that this was a palliative ca ...
Post Palliative Care Billing MBilling 2 11/08/2012
I need some help billing inpatient non hospice palliative care visits performed by an independent nurse practitioner. This is a new billing for us so I'm not sure where to find information on the appropriate way to bill these services. It's my understand ...
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