IN · guidance
Ind. IHCP Hospice Services Provider Reference Module, Section 6, Prior-Authorized Physician Services
Prior-Authorized Physician Services
The IHCP reimburses a physician’s direct patient services not rendered by a hospice physician volunteer as
an additional payment, in accordance with the usual IHCP reimbursement methodology for physician
services. The hospice must not bill these services under the hospice NPI.
An attending physician may bill only the physician’s personal professional services. Do not include the costs
for services, such as laboratory or X-ray, on the attending physician’s billed charges when those services
relate to the terminal condition. Include these costs in the daily hospice care rates as they are expressly the
responsibility of the hospice provider. Providers may bill independent physician services on the CMS-1500
claim form or electronic equivalent (837P transaction or IHCP Portal professional claim).
Provenance
- Source
- www.in.gov
- Retrieved
- 2026-10-01
- Edition
- ihcp-hospice-2025-08-27
- Content hash
40a98890b3f0d2bc54fbe191ab5f6906eee9863c367320ff81232c7175aebe2d
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