Wash. HCA Hospice Services Billing Guide, End-of-life service intensity add-on payment

Hospice services are eligible for an end-of-life SIA payment when all the

following criteria are met:

• The day on which the service is provided is an RHC level of care.

• The day on which the service is provided occurs during the last 7 days of life,

and the client is discharged deceased.

• The service is provided by a Registered Nurse (RN) or Social Worker (SW) that

day for at least 15 minutes and up to 4 hours total.

• The service is not provided by the SW via telephone.

When billing for an SIA payment, enter the appropriate revenue and procedure

code. In order for the claim to process correctly, the revenue code and procedure

code must be submitted on each line billed.

Revenue Code Description of Code Procedure Code Description of Code

0551 Skilled Nursing G0299 Direct skilled nursing services of an

RN in a home health or hospice

setting, each unit = 15 minutes

0561 Medical Social Service Visit G0155 Services of SW in home health or

hospice setting, each unit = 15

minutes

Note: For SIA payments, there is a maximum limit of 112 units

per a client’s lifetime.