What Medicare Won’t Cover
When you choose hospice care, Medicare won’t cover any of the following:
Treatment intended to cure your terminal illness
You should talk with your doctor if you’re thinking about getting treatment to cure your illness. As a hospice patient, you always have the right to stop hospice care at any time.
Prescription drugs to cure your illness rather than for symptom control or pain relief
Care from any hospice provider that wasn’t set up by the hospice medical team
You must get hospice care from the hospice provider you chose. All care that you get for your terminal illness must be given by or arranged by the hospice medical team. You can’t get the same type of hospice care from a different provider, unless you change your hospice provider.
Room and board
Medicare doesn’t cover room and board if you get hospice care in your home or if you live in a nursing home or a hospice residential facility. However, if the hospice medical team determines that you need short-term inpatient or respite care services that they arrange, your stay in the facility is covered. You may have to pay a small copayment for the respite stay.
Care in an emergency room, inpatient facility care, or ambulance transportation, unless it’s either arranged by your hospice medical team or is unrelated to your terminal illness
Note: Contact your medical hospice team before you get any of these services, or you might have to pay the entire cost.
Medicare hospice benefit. How to identify and handling the denial. Usage of correct CPT code and Modifiers. Using correct form,ICD code
Tuesday, January 4, 2011
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