NHPCO NewsLine Summer 2020 - 27
d. How can no-shows be
minimized, and access/
technology problems solved?
4. Conduct & Document Visit
a. What amount of time should
be allocated for different types
of visits? (the amount of
allocated time should include
the face-to-face encounter,
care coordination, and charting
of visit and time spent)
b. How much time should be
allocated between visits? (time
for visit preparation should be
built into each provider's visit
schedule)
5. Code and Bill for Visit
a. Face-to-Face Encounters
i. For hospice face-to-face
encounters: The face-to-face
encounter completed through
telehealth should be
documented as such. Since it
is an administrative function,
the visit is not billable.
ii. For medically necessary visits
provided through telehealth
during the hospice face-toface encounter, the hospice
should report the E/M code
for the visit, using the 95
modifier. If the medically
necessary visit is rendered by
a nurse practitioner that has
been elected as the hospice
attending, add the GV
modifier so that the Medicare
Administrative Contractor
(MAC) knows if the visit is to
be paid at the ARNP rate
(85% of the physician
payment) rather than at the
physician rate. The modifier
95 must be used for all
telehealth services billed to
Medicare.
b. Virtual Visits on the Hospice
Claim Form
i. Social worker phone calls can
be added to the claim form
for all phone calls to patients
and families for social work
services. Audio visual
requirements do not apply, as
this is a long-standing
requirement for social work
services.
ii. No other disciplines in hospice
may enter telehealth visits on
the claim form at this time.
c. Documentation in the
Electronic Medical Record
(EMR)
iii. Document all types of visits
in the clinical record. If in
person visits were not made,
document attempts and
reasons for managing care
through virtual visits.
The face-to-face
encounter
completed
through
telehealth should
be documented
as such. Since it is
an administrative
function, the visit
is not billable.
iv. Document the type of visit
that will be completed to
manage the patient care in
the plan of care.
v. The plan of care should
reflect the plan for visits and
how this plan is meeting the
goals of care in a safe and
appropriate manner
Download the full Quick Guide to Virtual Care
from the NHPCO website.
Newsline / Summer 2020
27
https://www.nhpco.org/wp-content/uploads/COVID-19-Quick-Guide-Virtual-Care_FNL.pdf
NHPCO NewsLine Summer 2020
Table of Contents for the Digital Edition of NHPCO NewsLine Summer 2020
NHPCO NewsLine Summer 2020 - intro
NHPCO NewsLine Summer 2020 - 1
NHPCO NewsLine Summer 2020 - 2
NHPCO NewsLine Summer 2020 - 3
NHPCO NewsLine Summer 2020 - 4
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