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CAPCconnect™ palliative care discussion forum

Billing and Finance


Number of threads on this Forum: 210
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Subject Author Posts Last Post
Description
Post Lab draw at home and payment Creal 2 01/19/2012
I was asked if Medicare would pay for lab drawn at home for a palliative care patient who is not home bound? The physician would like to avoid frequent trips to the office due to fatigue and exposure to cold and disease in a medical facility. Typicall ...
Post NP Billing for home palliative care mward 4 01/17/2012
I am an NP employed by a not for profit hospice. We are starting a new palliative care program, can my home visit for palliative care be billed through Medicare, Medicaid and third party insurances? Can my visits also be billed for LTC and ALFs?
Post Separate provider # required? Victor 2 01/10/2012
We are a hospice with a provider number for billing hospice services (part a). We plan to begin outpatient palliative service later this year; do we need a separate provider # to bill palliative under part b? Does anyone know where I can find this info ...
Post Medicare Reimbursement of 99356/7 STLPallMed 2 12/30/2011
Hi all, I am starting a Palliative Medicine consult service starting Jan 2012. Today I've been working on a billing/coding template and getting everything straight in my head. I find it ridiculous that Medicare will not reimburse for prolonged serv ...
Post SNF billing lbogmd 3 12/13/2011
Let's say I have a hospice patient in a SNF on routine level of care (custodial for purposes of SNF). Do we use SNF billing codes or Domiciliary (B&C) billing codes, or other?
Post APN salary not from nursing fund Crledez 2 11/23/2011
We are looking to design a program at our facility and I just attended the conference. I will be a new APN in April 2012 so I wanted to understand this now, before my employer creates a position. You stated in the presentation that the APN salary can not ...
Post APPROPRIATE PHYS BILLING slmare 3 11/23/2011
We have a Palliative Medicine & Medical Ethics department as well as a Hospice department within our organization. They are separate departments (different department numbers/budgets). We have two physicians who are employed in both departments and one p ...
Post CPT Modifiers for PC - Phys vs. NP? amydowdy 3 11/11/2011
We are new to Palliative Care billing, waiting for our clearance from Medicare to begin billing. However, we're stuck on the billing for physicians versus nurse practitioners. The documentation states that Medicare will pay 100% for physicians and 85% for ...
Post Billing for an RN CHPC 2 11/15/2011
Does anyone bill insurance for their RN charges? I didn't think it was allowable then we heard about some other Palliative Care's who do this. Thanks!
Post billing ebaise 2 11/02/2011
I am a chaplain and recently took one of your surveys that asked for topics that we would be ineterested in for education purposes. One topic was: billing for spiritual care. Can the chaplain on a palliative care team bill for spiritual services? If so, h ...
Post V66.7 coding DeannaBrame 3 10/24/2011
I have been reading with interest from another listserv, the concern about utilizing the code V66.7, which is Palliative care and that connotation to terminal care. We see many more patients who are not termninal than those that are terminal, and do not w ...
Post V66.7 coding DeannaBrame 2 11/07/2011
I have been reading with interest from another listserv, the concern about utilizing the code V66.7, which is Palliative care and that connotation to terminal care. We see many more patients who are not termninal than those that are terminal, and do not w ...
Post LTC billing for NP colleen13 2 10/24/2011
I have some confusion regarding LTC billing for NP under Palliative Care. My initial understanding is that the NP cannot bill for initial visit in LTC setting? only under codes 99307-and higher. Any input would be greatly appreciated.
Post Other billable procedures LisaLeah 1 10/17/2011
Can you tell me what other billable procedures a palliative care NP or MD could bill for during a home, SNF, or assisted living visit, such as catheter changes, etc.? If you have the code also, that would be great. Thank you very much!
Post NP Billing CindyNP 2 10/07/2011
I am new to Palliative Care as an NP. I am employed by the hospital. The finance department of my institution is telling me that I cannot bill for my professional services because I am a hospital employee. My collaborative agreement is with a physician ...
Post Non-Physician charges DebraLand 2 10/12/2011
Does your organization bill for palliative care visits by registered nurses, social workers or chaplains? If so do you charge a flat rate per visit, or do you have a sliding fee scale? We would appreciate any information on how organizations charge for ...
Post new vs. existing aherman 2 09/21/2011
I need a point of clarification. If I see an inpatient consultation I bill a 99223. the patient is discharged. I see them in outpatient clinic and bill 99213 (existing). they are readmitted for new episode of acute care in the hospital can I bill 99223 ...
Post palliative care billing suzannenk 4 09/21/2011
Can codes 99366 (face to face) and 99367/68 (non-face to face) be used for billing management conferences? Our billing company used these codes and were denied payment.
Post Interpretive Guidelines for Medicare Regs szaglifa 2 09/14/2011
Are there intepretive guidelines for the Medicare General Inpatient Hospice Benefit? There seems to be discrepancies between how these regulations are followed by different hospice agencies...specifically around the requirement for acute symptom manageme ...
Post Billing for Time DharmaDoc 2 08/17/2011
Hi, I recently had a routine outpatient chart audit. According to the auditor, to bill at level 99214 based on time, the visit would have to last at least 50 minutes, and at least 26 minutes would have to be documented to be about counseling and coordinat ...
Post billing for family meeting jbrant 2 08/17/2011
Hi, I wondering if the medicare rules changed in 2010 regarding billing for a family meeting at home or in an ALF/SNF when the patient cannot participate (in this situation-end stage dementia precluded her involvement). My understanding is that with the ...
Post Facility Billing for Palliative Care Team Services pstark 2 08/10/2011
I am wondering if anyone can tell me whether there is a possibility of billing the team services apart from the physician billing. (i.e. LCSW or RN run family meetings) Thank you
Post Part B Billing - Software and Employees MBezak 2 08/08/2011
We are a small hospice and home health provider in New Jersey who are forming a Palliative Care program. Does anyone have suggestions for software to bill Medicare part B. Also, we are curious to find out how other Part A providers have educated themselve ...
Post Palliative Care Specialty Khedger 2 09/30/2011
What is the best way to bill hospital inpt charges when, two physicians sharing the same speciality and TIN see a patient on the same day? One M.D. see's the pt in house in AM and has requested that a partner who is a Palliative Care specialist evaluate ...
Post Collections rate for palliative care dprentice 2 07/28/2011
I work for a hospice that has recently developed a separate palliative care program. I'm wondering how similar programs are doing in terms of collections? It seems like we are collecting about 75% of our charges. Is this fairly decent or is there a lot of ...
Post Request for 2011 Palliative Care Codes pgoutink 2 07/28/2011
Were there any new Palliative care codes issued for 2011? If anyone can provide me with any new Palliative Care codes that they may know of, it would be greatly appreciated. Thank you.
Post Medicare Part B Billing Application barbvolk 2 07/26/2011
We are a hospice provider who is developing a Palliative Care Program and must complete the application for Part B. Does anyone know which Medicare Application is the correct one. Our Medical director is Certificed in Hospice and Palliative Care and will ...
Post Billing for disciplines in Palliative Care JSmith 2 07/05/2011
There seems to be information on billing for physicians, nurse practitioners, and social workers in palliative care. What about other disciplines such as chaplains, nutritionist, physical thereapy, occupational therapy, etc.
Post Billing for Palliative Care JSmith 2 06/28/2011
We are just beginning a Palliative Care Program and currently doing research and benchmarking at our hospital. We have also tracked some patients in the home after discharge. Is there a document of any sort that exists on what can be charged and what ca ...
Post NP Salaries drussell 4 06/23/2011
Hi, I work in an acute care hospital >350 beds in Michigan. If anyone would consider sharing a salary range for NP's in Palliative Care. I am ACHPN certified and started the program 2 1/2 yrs ago. Any data would be helpful. Should I be looking at number o ...
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