GW MODIFIER

[Missouri Public Health Association]

When we get a denial stating patient is in hospice care, I have been adding GW modifier and rebilling a corrected claim to show services are unrelated to hospice care. Is this correct, or should I be using a different modifier?

I had one claim deny and I don’t know if it was an error on my end or the insurance.

TIA

[Missouri Public Health Association]

So this goes way back in my history —- when a patient is on hospice that hospice has to supply ALL care and medication. I don’t know what service you are providing but stop now before you get too deep in debt. They will not pay unless you can get the hospice to pay for your service.
Just my 2 cents

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