When can hospices bill Medicare for physician services?
Physician or nurse practitioner (NP) services that are related to the terminal diagnosis and are professional (hands on) in nature are billed to the Regional Home Health Intermediary (RHHI) when the physician or NP is employed, under arrangement (contract), or is a volunteer of the hospice. If the services are provided by an independent attending physician, the physician bills the Medicare Part B Carrier. Cahaba has a quick reference tool available to assist hospices in determining when they should bill physician services to Medicare and the data elements required to bill such services on hospice claims. (Jan.
Related Questions
- How are nurse practitioners, clinical nurse specialist and physician assistants paid by the Medicare program for services furnished to hospital patients?
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- Is the physician referring Medicare or Medicaid patients for designated health services ?
