Physician Reimbursement Guide

Physician Reimbursement Guide

“We were stunned by the amazing people who came to care for our loved one. Truly, you answer to a higher calling than the rest of us.”

- A patient’s son

The oldest and most experienced hospice in the region, caring for tens of thousands of terminally ill patients since 1980, Hospice of the Piedmont looks forward to partnering with you to deliver exceptional, compassionate pain control and symptom management.

 

Attending Physician Payment Guide for Hospice Patients

Physicians must use a specific modifier on bills submitted to Medicare. See below for more information.


  • Physician has been designated by the patient as the attending physician
  • Attending physician is not an employee of the hospice
  • Services are related to the hospice patient’s terminal illness

“GV” modifier

  • Attending physician is not employed or paid under agreement by the hospice

  • Physician is covering for a hospice patient’s designated attending physician
  • Physician is not an employee of the hospice
  • Services are related to the hospice patient’s terminal illness

 

 


“GV” modifier

  • Attending physician is not employed or paid under agreement by the hospice

“Q5″ modifier

  • Services being billed by the attending physician were provided by a covering physician

  • Physician has been designated by the patient as the attending physician
  • Attending physician is not an employee of the hospice
  • Services are NOT related to the hospice patient's terminal illness

“GW” modifier

  • Service is not related to the hospice patient's terminal condition

 

 

May we support you in caring for your terminally ill patients?
Contact Hospice of the Piedmont now:

1-800-975-5501, 434-817-6900, or [email protected].