US · guidance
CMS Pub. 100-04, ch. 9, § 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.
History
(Rev. 11200, Issued :01-12-22, Effective: 01-01-22, Implementation: 01-03-22)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
2f93a4eb5db1f0db050415e1932e720c4d0f479d6c760b929cdc06d245c970ea
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