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CAPC Palliative Care Discussion Forum
Billing and Financial

In Reply To: Extended Services
Next Reply: Re:Re:Extended Services
Next Message: Re:Extended Services

Post Re:Extended Services
Author: lhspragens [CAPC Faculty]
Date: Aug 14, 2007 2:57 pm

First, most of the tools on the website are for inpatient billing, and nursing services are not billed separately, but are included in the DRG/Part A hospital billing. Separate billing is for Part B services - physician/provider services.

If you are thinking about private pay options for home based services, then your best comparison points will be info on home health care nursing costs and options in your market.

Depending on your market, you may also want to do informational interviews with a local hospice and a home care provider, to see if they are considering doing this and can be partners or referral sources if they do not plan to do this. Also they will have info re both billing and payment rates. You can probably also find much of this on the CMS website.

There is considerable interest (not a lot of models or data) in provider home visits for palliative care, so another consideration is whether you are thinking of a "nursing only" service, or a team practice with other providers.

Replies: order by [Date] [Author] [Subject]
Re:Re:Extended Services (by Laurahodges on 08/14/2007)
Thank you for your input. I am looking at a nursing only service through physician referrals. Where the primary care physician would refer out for other providers if/when needed. Thanks again, Laura

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