Ind. IHCP Hospice Services Provider Reference Module, Section 6, Physician Services Under Revenue Code 657

Reimbursement for a hospice-employed physician’s direct patient services, not rendered by the hospice

physician volunteer, is billed as an additional payment by the hospice provider under the hospice provider

number. The only physician services billed by a hospice provider are direct patient care services.

Laboratory and X-ray services are included in the hospice provider’s daily rates.

Consulting physicians are physicians who see the hospice patient for treatment of the terminal illness and

are paid for the services out of the hospice per diem. To bill for consulting physician charges, the hospice

must do the following:

• Ensure hospice providers have a contract with the consulting physician address ing the contracted

service, cost for service, rate paid for service and acknowledgement the hospice is the professional

manager of the patient’s hospice care.

• Bill the IHCP using hospice revenue code 657 and track the claim’s payment by keeping the IHCP

Remittance Advice for this charge along with the consulting physician’s bill or invoice for the

service rendered.

Hospice providers must meet all standard billing rules and claim filing limits when billing for a consulting

physician. If the consulting physician has submitted a bill past the 180-day filing limit, the claim will deny.