Wash. HCA Hospice Services Billing Guide, What is included in a PPC contact?

A PPC contact includes:

• One visit with a registered nurse, social worker, or therapist with the client in

the client’s residence to address:

o Pain and symptom management.

o Psychosocial counseling.

o Education/training.

Note: For the purposes of this billing guide, HCA defines

therapist as: a licensed physical therapist, occupational therapist,

or speech and language therapist.

• Two hours or more per month of case management or coordination services

to include any combination of the following:

o Psychosocial counseling services (includes grief support provided to the

client, client’s family member(s), or client’s caregiver prior to the client’s

death)

o Establishing or implementing care conferences

o Arranging, planning, coordinating, and evaluating community resources to

meet the child’s needs

o Visits lasting 20 minutes or less (for example: visits to give injections, drop

off supplies, or make appointments for other PPC-related services)

o Visits not provided in the client’s home

Note: Two hours of case management equals one contact and

one visit equals one contact. You can have six contacts with any

combination. Unbilled case-management hours do not carry over

to the next month.