Wash. HCA Hospice Services Billing Guide, How does HCA reimburse for the following physician services?

Administrative and supervisory services

Administrative and general supervisory activities performed by physicians are

included in the hospice daily rate. These physicians are either employees of the

hospice agency or are working under arrangements made with the hospice

agency. The physician serving as the medical director of the hospice agency

and/or the physician member of the hospice interdisciplinary team would

generally perform activities such as:

• Physician participation in the establishment of plans of care.

• The supervision of care and services.

• The periodic review and updating of plans of care.

• The establishment of governing policies.

Note: These activities cannot be billed separately.

Licensed health care services

Services not related to the hospice diagnosis provided by physicians, ARNPs,

and PA-Cs not employed by the hospice agency

HCA pays providers who are attending physicians and not employed by the

hospice agency, the usual and customary charge through the Physician-Related/Professional Services Fee Schedule:

HCA pays these providers:

• For direct physician care services provided to a hospice client.

• When the provided services are not related to the terminal illness.

• When the client’s providers, including the hospice provider, coordinate the

health care provided.

Professional services related to the hospice diagnosis

See HCA’s Physician-Related/Professional Services Fee Schedule.