Center to Advance Palliative Care

New Website

CAPC launches getpalliativecare.org for patients and families
Visit the site ...

 
Partners



Views

CAPCconnectTM palliative care discussion forum

Billing and Financial


Number of threads on this Forum: 32
Next 7 items »
Subject Author Posts Last Post
Description
Post Palliative care consult service sredding 2 08/28/2008
Our consult team (2 NP FTE's, 0.5 SW,chaplain and 10hrs/month of physician service) has recently begun billing. Is it necessary to have initial palliative care consults, done by NP's, co-signed by a physician in order to bill Medicare? A second question ...
Post APN billing in an Acute In-Patient Hospice Facilit kinsellaj 1 07/31/2008
In today's CAPC audio conference it was mentioned in the discussion portion of the presentation that there was a way for APN's to bill for their services in an acute in-patient hospice facility however it has been my understanding that APN's cannot bill u ...
Post APN billing for In-patient Palliative Care Consult dawnwold 2 08/01/2008
If an APN is an employee of the hospital and performing Palliative Care consults for in-patients can they bill for their services?
Post Social Work Billing Weissman 1 07/17/2008
I received additional information on outpatient social work billing from Susan Swinford at Hospice of the Bluegrass: "We bill our LCSW for outpatient and can also bill for home patients- there are codes for social work Part B billing- The SW has to us ...
Post Reimbursement for social work from Medicare Part B Steven_Wong 2 07/16/2008
Does anyone successfully bill Medicare Part B for clinical social work and gotten paid? What is the primary diagnosis code to use for billing, the terminal illness or the "mental health" diagnosis code? Thanks for the help.
Post Payment for physicians on consult service rtusan 2 07/28/2008
We have a mix of faculty physicians and private physicians that are interested in being part of our new palliative care consult service. Physicians on the consult service will be expected to respond to pages Monday - Friday from 9am-5pm. We are unsure o ...
Post Budget Question pstark 2 07/01/2008
I am wondering if anyone has tried to quantify cost savings into department budgets to offset the cost of the palliative care program. Thanks for any information, Phyllis
Post Facility billing wplauth 2 06/30/2008
We are in the process of building a 12-bed palliative care free-standing residential center. We plan to contract with the local hospital and hospice programs. However, is there a way to bill Medicare or third-party payers for a patient's stay, perhaps lik ...
Post Reimbursement SHELIAHAMBY 2 05/21/2008
How are NP acting as attending physician reimbursed as far as fee schedule - same percentage MD would get or a lesser percentage?
Post Billing care plan oversight for a physician. LizAlp 2 05/21/2008
We are a new hospice and have heard that it may be possible to bill Care Plan Oversight for a physician. Does anyone know if this is true and how it is done?
Post NP hospice business plan ShredaNP 4 05/08/2008
Help! I desperately need an NP palliative care/hospice business plan. Does anyone have a business plan that they would be willing to share? I haven't written one in many years and need a guide to show that billing for an NP does work.
Post Consult Codes ALD23 2 05/05/2008
I am starting a new pall care practice. Several have told me I can bill as a consultant if referred by a IM/FP physician if we use different diagnosis codes. Others have indicated that has not yet been approved by medicare despite our specialty status and ...
Post Medical Director Contract Samples Michael 2 04/07/2008
I am a new Executive Director of Palliative Care and have been asked to review the various contract agreements for that service. It seems to me that our facility's standardized Medical Director contract agreement is not appropriate for the level of clini ...
Post PC Physician Reimbursement for Family Meetings HPM_Physician 2 04/07/2008
As we all know, there are occasions where a palliative care consult is needed for a family meeting to discuss "Goals of Care". If there are no symptoms to manage and/or the requesting physician is symptom managing then my questions are: 1. For the initial ...
Post out patient billing jmmaher 2 04/03/2008
Hi everyone. I am a new medical director. Interested in finding out what codes folks are using for 1. hospice house in patient (GIP) and residential 2.nursing home visits (initial and follow up) 3. home visits (initial and follow up) and 4. palliative car ...
Post Financial Impact KarenGeorge 2 03/20/2008
1. Is there a different room charge for inpatient palliative care bed vs. an acute care bed? 2. Can the "V" code be used for the patients on the palliative care unit to help offset overall mortality rate for the hospital?
Post Hospice Physician and Private Insurance Patients HPM_Physician 2 03/20/2008
I am a new hospice medical director and the question I have is how to receive reimbursement for patients who are under 65 (no medicare or medicaid), on hospice and have private insurance (Bluecross, Aetna etc.). My hospice does my billing and pays 100% of ...
Post correct code Judy 4 02/04/2008
I've had claims denied for using 293.0 in patients who develop delirium prior to death because coverage didn't include "mental health". Have other programs had this problem? I'm using the V66.7 with these claims and the code for their terminal illness. ...
Post Using the V 66.7 Palliative Code donnamhyatt 1 01/11/2008
If MEDPAR data submits only 8 or 9 secondary diagnoses and V667 is #11 how will they receive this? It is my understanding that we send MEDPAR data to GHA, and GHA distributes it to the powers that be. I am not aware of a separate abstraction that is sub ...
Post Help!! Medicare Billing kvoltz 4 01/23/2008
We are a hospice agency, and we have started up a palliative care program this past Apri. After SEVERAL attempts with Medicare we are really getting the run around. We are being told by part B that we need to submit our application to part A, and we are ...
Post outpt. billing stiffl 3 01/23/2008
We are looking at expanding our inpt. Palliative Care Services to the Outpatient setting. Is anyone aware of the billing requirements for Medicare/Medicaid? Will they pay for OP Palliative Care? What credentials does a RN need to able to bill?
Post Social Work Billing pattonl 2 12/09/2007
We are also expandeing our outpatient palliative care program and would like to be able to have our LCSW be able to bill. I am seeking any input from programs that have the social worker bill for counseling services. Our program is a fee for service progr ...
Post re: physician billing Davie 2 11/13/2007
Any ideas as to which method is the most fiscally responsible for the healthcare system while still being just to the physician? Thanks...
Post Social Work billing Davie 2 03/24/2008
Hi, we have a robust hospital-based palliative care program that includes a social worker who follows patients home at the time of discharge. We are also interested in beginning to explore billing for her services. I understand that because she is LISW, ...
Post Social Work Visits and Billing dianew 2 02/26/2008
Can anyone provide information regarding social work visit to palliative care patients who are in their homes? Our palliative care program is just beginning to grow. It is a partnership program with our hospice services. We have our hospice medical dir ...
Post Billing for consult services frecka 3 03/13/2008
Regarding billing for consult services in the context of a palliative care consult service, do hospitals ever do the billing for physician services or are those typically done by the physician independantly. I was wondering if that revenue was used to off ...
Next 7 items »
IMPORTANT: In order to post a new message or reply to an existing post in the discussion you must login. If you are not a registered member you may join here.
The statements posted in the forum section of capc.org are opinions expressed by website visitors and do not necessarily represent the viewpoints or positions of the Center to Advance Palliative Care(CAPC). CAPC is not responsible for the factual or legal accuracy of any of the statements posted.


General questions about using the CAPCconnectTM palliative care discussion forum? EmailPatricia.Caines@mssm.edu