Hospice Of - Gw Modifier For Care Unrelated to Hospice final Care
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Hospice Of! Again, for I know. Ready to share new things that are useful. You and your friends.Many billers think that if a outpatient is a Hospice outpatient that they cannot get reimbursed for services if they are not reimbursed by the Hospice carrier. But authentically there is a modifier, Gw, that indicates that the care is unrelated to the patient's terminal condition. In order for a outpatient to receive Hospice services they must have a life expectancy of six months or less if the terminal illness or disease runs its general course.
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We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Hospice Of.Many habitancy mistakenly think that this means that the outpatient must be bed ridden or critically ill. However, that is not always the case. In fact, many hospices encourage the patients to continue with communal and recreational activities as long as they are able. They try to make the patient's last few months, or weeks as fulfilling as possible.
This in some cases means that the outpatient may need to see a medical supplier for something that is not connected to the terminal condition. For example, maybe the outpatient has low back pain and seeing a chiropractor gives the outpatient relief. Their terminal health is an inoperable brain tumor, or an inoperable aortic aneurysm. The back pain is not connected to the terminal condition. The outpatient receives relief from the chiropractic manipulation.
The chiropractor can still see the outpatient even though they are receiving hospice and the chiropractor doesn't have to get hospice to agree to pay for the care. They can bill the patient's guarnatee using the Gw modifier to indicate "service not connected to the hospice patient's terminal condition".
There are other examples of care that can be rendered that is not connected to the terminal condition. Maybe the outpatient gets conjunctivitis and needs to see an ophthalmologist to get treatment. Again, the service is unrelated to the terminal condition, but you can't just ignore the conjunctivitis.
For me the qoute is that I use the Gw modifier so infrequently that when I need it I can't remember which modifier it is. So I decided to make it an entry in my rolodex so that when it comes up, I can find it easily! Hey, whatever works.
Copyright 2009 - Michele Redmond
Solutions medical Billing Inc
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