Patient Enrolled in Hospice - JE Part B
Patient Enrolled in Hospice
Common Reasons for Message
- Patient is enrolled in Hospice on date of service
- Medicare Part B only pays for physician services not related to Hospice condition and not paid under arrangement with Hospice entity
- Patient's Common Working File (CWF) has not been updated to show Hospice election has been revoked
Next Step
- Append Hospice modifier if appropriate
- Modifier GV - Attending physician is not employed or paid under agreement by patient's Hospice provider
- Modifier GW - Condition not related to patient's terminal condition
- Submit Appeal request - Items or services with this message have appeal rights
- See Appeals webpage for instructions on how to submit a Reopening or Redetermination
Claim Submission Tips
- Verify patient's Hospice enrollment via Interactive Voice Response (IVR) or the Noridian Medicare Portal
Last Updated $dateUtil.getDate( $modifieddate , "MMM dd , yyyy" , $locale , $tzone )
