Office: (630) 601-1280
Fax: (331) 431-4380

Physician Billing Guide

  • Can I bill for my physician visits once my patient elects hospice?

    YES!! A primary care physician not affiliated or under contract with the hospice may bill Medicare for services provided to a hospice patient.

  • How?

    Modifiers are the key!

  • Which scenario works for you?

    • Primary physician’s visit is related to the patient’s terminal diagnosis:
    Modifier to use: GV
    • Primary physician’s visit is not related to the patient’s terminal diagnosis:
    Modifier to use: GW
    • Covering physician is a member of the primary physician’s practice:
    Modifier to use: Q5 & GV or GW
    • Covering physician is not a member of the primary physician’s practice: Modifier to use: Q6 & GV or GW

  • Determine hospice eligibility to get the help your patient needs.

    • CHF
    • COPD
    • End Stage Alzheimer’s
    • Cancer
    • Renal Failure
    • Liver Disease
    • ALS

If you have any additional questions regarding billing, please contact your Hospice Care Consultant. Thank you for giving us the opportunity to help care for your patients and families.