Apricot,
Thanks for the response. I found this info, and thought I would share it with everyone.
50 - Billing and Payment for Services Unrelated to Terminal Illness
(Rev. 1, 10-01-03)
HSP-303.2, B3-4175.2, AB-02-015
http://www.cms.hhs.gov/manuals/downloads/clm104c11.pdf page 29
Any covered Medicare services not related to the treatment of the terminal condition for which hospice care was elected, and which are furnished during a hospice election period, may be billed by the rendering provider to the FI or carrier for non-hospice Medicare payment.
These services are coded with the GW modifier “service not related to the hospice patient’s terminal condition” when submitted to a carrier or with condition code 07 “Treatment of Non-terminal Condition for Hospice” when submitted to an FI. Contractors process services coded with the GW modifier and “07” condition code in the normal manner for coverage and payment determinations.
If warranted, contractors may conduct prepayment development or postpayment review to validate that services billed with the GW modifier or “07” condition code are not related to the patient’s terminal condition. See the related chapter of the Medicare Claims Processing Manual chapter for the type of service involved (i.e., Chapter 12 for physician type of services) for billing rules.
