Why are some of our claims denying with message B9 (patient enrolled in hospice)? The services are unrelated to the patient's hospice diagnosis.

Answer: All services performed (by any provider) within a patient's hospice period must be submitted with one of the following hospice HCPCS modifiers:
  • GW — Service not related to hospice patient’s terminal condition
  • GV — Attending physician not employed or paid under arrangement by the provider's hospice provider
In this case, HCPCS modifier GW should be submitted.

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Provider Contact Center: 855-696-0705

TDD: 866-830-3188

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