Questions - 1044 l Posts - 2908
Questions - 1158 l Posts - 3033
Questions - 174 l Posts - 527
Questions - 336 l Posts - 912
Questions - 24 l Posts - 69
Questions - 251 l Posts - 664
Questions - 936 l Posts - 2552
Questions - 1068 l Posts - 2760
Questions - 2490 l Posts - 6760
Questions - 567 l Posts - 1561
Questions - 303 l Posts - 856
Questions - 561 l Posts - 1675
Questions - 2578 l Posts - 7173
Questions - 188 l Posts - 468
Questions - 711 l Posts - 1850
Questions - 86 l Posts - 200
Questions - 2763 l Posts - 7077
Questions - 638 l Posts - 1608
Questions - 266 l Posts - 730
Questions - 83 l Posts - 218
Questions - 520 l Posts - 1358
Questions - 601 l Posts - 1767
Questions - 189 l Posts - 493
Questions - 210 l Posts - 530
Questions - 368 l Posts - 982
Questions - 239 l Posts - 637
Questions - 584 l Posts - 1636
Questions - 766 l Posts - 2065
Questions - 1149 l Posts - 2899
Hi Caralee,
Below are some of the modifiers that need to be appended. However, as per your medical records you need to check which suits your documentation.
GV Modifier
The GV modifier is used when a physician is providing a service that is related to the diagnosis for which a patient has been enrolled into hospice. This physician is not associated with the hospice and is providing services as a private physician.
GW Modifier
The GW modifier is used when a physician is providing a service that is not related to the diagnosis for which a patient has been enrolled into hospice. This physician is not associated with the hospice and is providing services as a private physician.
When a patient is under hospice there is a certain diagnosis that was indicated at the beginning of care. If the service the physician renders is unrelated to the terminal illnesses that hospice has on record, Medicare will not reimburse for the service unless it is submitted with the modifier GW. The GW modifier cuts through the Medicare edits and will pay.