Billing
Tips for faster turnaround times for provider bills.
- Labeling second billings with “Tracer” or “Second Billing” will cut down on process times.
- A GV modifier on a Primary Care Physician (Attending) is needed when you bill directly. If the billing is for services by a physician other than the attending physician then Hospice of Spokane should be billed so we can determine whether the service was disease related.
- A GW modifier is needed on a billing that is denied by us for Non Disease Related
- As of January 1, 2010, CR 6740 states: Part B carriers and/or A/B MACs will no longer recognize AMA CPT consultation codes (ranges 99241-99245 and 99251-99255). For more information please refer to Change Request (CR) 6740 on the CMS website.
Did you receive a denial letter from us?
- If a billing is Denied - we send you a denial letter with the appropriate reason for the denial marked.
- To receive a packet explaining how to bill when a patient is under hospice care you may call the finance department at 456.0438 and we would be happy to send one to you.
Here are some of our favorite links that may be of use to you.
http://www.cms.hhs.gov/ This is the Center for Medicaid and Medicare Services and has lots of useful information.
http://www.cms.hhs.gov/Manuals/IOM/list.asp The Medicare Claims Processing Manual, CMS Pub 100-4, Ch. 11, sections 40.1.3 and 40.2.
https://wamedweb.acs-inc.com/wa/general/home.do This is the home page of Washington State Medicaid online. WAMedWeb provides the tools and resources to help healthcare providers conduct business electronically with Washington State Medicaid.
This portion of the website is new and we welcome any feedback you have about improvements or additions! Email us at info@hospiceofspokane.org or call 509.456.0438.