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CAPCconnectSM palliative care discussion forum

Billing and Financial


Number of threads on this Forum: 23
Subject Author Posts Last Post
Description
Post Billing care plan oversight for a physician. LizAlp 1 05/14/2008
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 ...
Post Subspecialty Staus of Palliative Care jeffzesiger 3 10/30/2007
In 9/2006,one YEAR ago, the American Board of Medical Specialties voted to have PCare recognized as a sub specialty of various Specialties such as IMed, Peds, etc. I am closing my practice of Primary Care IMed to do PCare full time, but insurance Co.'s st ...
Post hospice medical director contract question maura 3 10/05/2007
I am being offered a contract as hospice medical director in my area for $450 weekly. I am told that I will be attending weekly interdisc meetings (about 2 hours) and will need to carry a pager 24/7--reportedly only with several calls weekly. I may need ...
Post Extended Services Laurahodges 3 08/14/2007
I recently obtained my MSN after obtaining my MBA/HCM. During a doctor visit with my PCP she encouraged me to look into a pallitive care business where I live. She noted that there was nothing in our area except for hospice. She has gone to training and n ...
Post Social Worker Billing Question OFL07 2 06/29/2007
Can a community-based social worker bill for psycho-social services in a hospital setting?
Post palliative care inpt billing Baya 6 05/08/2008
i would like to learn about experiences people have about the third party billing & payment rembursements for Pllative care consult ( new / follow-up) in hospital as well as LTC / NH
Post Welcome Message PCaines 1 06/13/2007
Welcome to the CAPC Palliative Care Discussion Forum! Use this area to share information, exchange ideas and get advice on the topic of Billing and Financial. Please come back often to get up-to-the-minute feedback from your peers and CAPC faculty.
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General questions about using the CAPCconnectSM palliative care discussion forum? EmailPatricia.Caines@mssm.edu