Hospice Modifiers GV And GW For Successful Wound Care Billing

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Hospice Modifiers GV And GW For Successful Wound
Care Billing 

• Hospice is a specialized care type for people
  with terminal illnesses. Hospice care addresses
  the patients emotional, physical, social, and
  spiritual needs. In simple terms, hospice is a
  complete, all-encompassing program of care and
  support for terminally ill patients and their
  families. Hospice care shifts the emphasis from
  curative care to comfort care (palliative care)
  for pain reduction and symptom management. To
  ensure that hospice patients get timely wound
  care and physicians receive complete
  reimbursement, it is crucial to understand the
  use of hospice modifiers for successful wound
  care billing.

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What are the requirements of hospice modifiers
for wound care?

• The Hospice Modifiers can be utilized when
• Patients are engaged in hospice and are expected
  to pass away within the next six months.
• A physician treats a hospice patient to indicate
  that a separate payment should be allowed.
• The hospice or any condition unrelated to the
  patients terminal state does not pay the
  physician.
• The hospice care facility is meant to provide the
  patients care.
• The hospice benefit provisions only cover care
  provided by a Medicare-certified hospice.

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What are the coding guidelines for hospice
modifiers for wound care?

• Modifier GV
• Regardless of provider type, modifier GV must be
  submitted when a service matches the following
  conditions
• The service was provided to a hospice patient.
• A physician or non-physician practitioner
  delivered the service recognized as the patients
  attending physician at the time of enrollment in
  the hospice program.
• Modifier GW
• When the claims are submitted to the Part A
  contractor to treat a non-terminal ailment with
  condition code 07, all providers must submit the
  GW modifier. Ensure that an accurate diagnosis is
  entered on the claim. If modifier GW was
  correctly applied, it may be necessary to
  challenge the verdict.

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Outsourcing for Successful Wound Care Billing!

• Claim denials can result in numerous additional
  administrative hours and potentially millions of
  dollars in revenue lost. A methodical approach to
  compliant billing and internal auditing enables
  providers to self-correct and avoid infractions
  from escalating.
• An expert hospice revenue cycle management
  company such as 24/7 Medical Billing Services can
  help guarantee that all of your hospice claims
  are adequately paid and submitted, resulting in
  accurate reimbursement for the treatment you
  offer to your patients. We provide you with a
  staff of highly qualified and experienced billers
  who employ best practices to handle your
  practices complex billing needs. We also assist
  hospice organizations with end-to-end revenue
  cycles management services like billing and
  coding, A/R follow-up, and denial management.

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About 24/7 Medical Billing Services
24/7 Medical Billing Services is the nations
leading medical billing service provider catering
services to more than 43 specialties across the
entire 50 states. You can rely on us for
end-to-end revenue cycle management. We guarantee
up to 10-20 increase in the revenue with cost
reduction of your practice for up to 50.
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Call us Today
Media Contact 24/7 Medical Billing
Services, 28405 Osborn Road, Cleveland, OH,
44140 Tel [phone] Email
info_at_247medicalbillingservices.com Website
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