Center to Advance Palliative Care

For Patients and Families


Visit the site ...

 
Partners



Views

CAPC Palliative Care Discussion Forum
Billing and Financial

Next Reply: Re:out patient billing
Previous Message: Financial Impact
Next Message: PC Physician Reimbursement for Family Meetings

Post out patient billing
Author: jmmaher
Date: Mar 20, 2008 7:51 pm
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 care visits (initial and follow up). Are you doing the inital visits as a consult? and if so how are you getting the required request for consult. Sorry if you have already hashed this over.

and thanks for the help!
Replies: order by [Date] [Author] [Subject]
Re:out patient billing (by AEM on 04/03/2008)
As to #4. palliative care visits in outpatient setting: we receive these patients as a consultation from another physician. Medicare requires documentation that the consultation was requested, as well as documentation back to the physician who requested the consult as to your recommendations or treatment. We use 99241-99245 for these visits (initial). Any visits (outpatient) with the patient after that are billed using 99212-99215. The four r's of consultation are request, reason, render and report. Medicare needs to see documentation of all four in the clinical chart.

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