When I have a patient that is admitted to hospice, I have found I can no longer see them in the office and be paid for that visit, so we asked the hospice team to manage the issues. Since I"m an NP, it is the hospice medical director who has been signing all orders.
I now have a patient who is upset that I can no longer follow him. The hospice team will not deal with his blood pressure and they want me to see him in the office. In the past, this has resulted in non-payment. I've already spent about 2 hrs with the pt and the hospice team on the phone with this. The hospice team is insisting I can bill for my services by using a modifier "07". We have been unable to find that modifier in the list of Medicare modifiers. I do find a GW modifier.
Has anyone used this modifier? Were you able to bill as usual using it and were you paid. Other ideas?
Thanks!
