Hospice Coding & Billing-February 2024 Webinar

Video Transcription

Video Summary

Thank you all for joining today's webinar on hospice coding and billing. Dr. Christopher Jones provided an overview of the different codes and guidelines for billing in a hospice setting. He explained the difference between billing by time and billing by complexity. Time-based billing is now based on all time spent on the day of service performing provider-level tasks and no longer includes unit or floor time. Complexity-based billing focuses on medical decision-making, specifically the diagnosis, data, and risk involved in the patient's care. Dr. Jones also discussed several codes that apply to non-hospice care, such as G2211 for longitudinal care in an office setting and codes for advanced care planning and social determinants of health assessment. He emphasized the importance of documenting the reason for multiple billing of advanced care planning codes and the need to use standardized assessments for social determinants of health. Dr. Jones also mentioned the prolonged service codes for visits that require extra time and the principal illness navigation and principal care management codes that assist with non-clinical and clinical navigation, respectively. Finally, Dr. Jones reminded attendees that the information presented is subject to change and encouraged them to consult their local billers and coders for the most up-to-date information.

Keywords

hospice coding

billing guidelines

time-based billing

complexity-based billing

medical decision-making

G2211 code

advanced care planning

social determinants of health assessment

prolonged service codes

principal illness navigation