RHCs and FQHCs for billing Hospice Attending Physician

60.6 - RHCs and FQHCs for billing Hospice Attending Physician Services (Rev. 11200, Issued :01-12-22, Effective: 01-01-22, Implementation: 01-03-22) Effective for services furnished on or after January 1, 2022, RHCs or FQHCs can bill and receive payment under the RHC All-Inclusive Rate (AIR) or FQHC Prospective Payment System (PPS), when a designated attending physician employed by or working under contract with the RHC or FQHC furnishes hospice attending physician services during a patient’s hospice election. RHCs must report a GV modifier on the claim line for payment (that is, along with the CG modifier) each day a hospice attending physician service is furnished. FQHCs must report a GV modifier on the claim line with the payment code (G0466 – G0470) each day a hospice attending physician service is furnished. The hospice attending physician services are subject to coinsurance and deductibles on RHC claims and only coinsurance on FQHC claims.