Hospice Modifiers GV And GW For Successful Wound Care Billing - PowerPoint PPT Presentation

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Hospice Modifiers GV And GW For Successful Wound Care Billing


Optimize your wound care billing with Hospice Modifiers GV and GW. Learn how to use them correctly for successful reimbursement for practices – PowerPoint PPT presentation

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Title: 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.

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
  • The hospice care facility is meant to provide the
    patients care.
  • The hospice benefit provisions only cover care
    provided by a Medicare-certified hospice.

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
  • 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.


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.


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.
Call us Today
Media Contact 24/7 Medical Billing
Services, 28405 Osborn Road, Cleveland, OH,
44140 Tel 1 -888-502-0537 Email
info_at_247medicalbillingservices.com Website
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