Description:
It’s clear that the Medicare program is paying more attention to services billed by hospice and palliative care providers. And, as all government budgets tighten, it should not be surprising that the Medicare program will continue to look for potential overpayments through the audit process. These two sessions provide discussions of compliance concerns, best practices and the basics to help ensure third-party payers are not successful in retrospective recoupment.

 Objectives: Part 1

• Describe the circumstances that allow physician visits to be separately billable
• List common pitfalls made by providers in hospice and palliative care
• Differentiate the hospice benefit from billable physician services
• Discuss how to substantiate the medical necessity of physician visits through thorough documentation

Objectives: Part 2

• Summarize the 1995 evaluation and management guidelines
• Outline Medicare's position on "Family Meetings"
• Distinguish time-based billing/coding from billing/coding on "complexity"
• Develop a general understanding of the documentation required to substantiate physician billing

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