HOSPICE DENIAL IN MEDICAL BILLING CO B9 #healthcare #medicare #claim #denial #hospital #hospice

Patient enrolled in a HOSPICE. Reason Code: B9 Scenario Description: #hospice : Providing CARE, COMPASSION & DIGNITY to our elder, who are nearing to “End of their life”. Denial code is CO-B9. Case 1: Medicare(MCR) denied the claim stating Patient is enrolled in a HOSPICE. Step1: Verify patient’s eligibility, noted the MCR’s Hospice effective dates for Dos. Step2: Append GW Modifier (GW : Provider related to Hospice but services not related Hospice) & Submit claim to MCR. So that Doctor will get payments from payer. Case 2: Medicare(MCR) denied the claim with same reason(already GW appended). Step1: Verify patient’s eligibility, then will see other Hospice care details(Hospice care name, Hospice dates…….etc) Step2: Remove GW Modifier, Add & Submit the claim to HOSPICE CARE* . Note1: if patient has MCR eligible, MCR PART A will cover/pay Hospice coverage. Note2: If patient has no MCR coverage, individual Hospice care* will pay. Note3: If eligible State Medicaid will also pay. ||Thank you for Your Time. Have a Good Health|| || Please Subscribe to watch all upcoming videos. Thank you ||