Hospice billing is not difficult, but the myriad ways which Providers contract with their Hospice customers means we can only make suggestions. Your specific Hospice contract will determine how you proceed.
Example: ABC Hospice has contracted with us for a monthly rate and a weekly rate which is the minimum time-frame for billing. We bill Hospice at the end of each month for services rendered. If the patient uses our product during the entire month, we bill a monthly rate. If the patient expires or does not need our equipment, we bill the monthly rate, or weekly rate, whichever is less.
In this example, we’ll create a HCPCS Tie for each item we provide which mimics the terms of our contract.
| Step 1 | Set the Dates of Service (DOS) to Month, Calendar. This will set each new order to begin on the setup date and run through the end of the calender month. Thereafter, the billing will run from the first to the last of each month. |
| Step 2 | Set the Special Pricing for Payor to Special Price and enter the contract monthly rate. |
| Step 3 | On the Recurring tab, Claim or Order, click Create Recurring Order for 1st month. |
See Also: How to Setup a Customer for billing a Hospice Customer, How to Setup a Payor for billing a Hospice Customer.
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