Mcr replacement denied hospice service

HELLO, i am billed first mcr replacement (Advantra freedom).But deneid as "Hospice service should be billed to medicare in intermediary". We used modifer "GW" (Service not related to the hospice patient's terminal condition )it is correct or wrong. But we billed Hospital visit's.Please used any modifier for this condition.Any help would be appreciated. Thank You...

re: MCR REPLACEMENT DENIED HOSPICE SERVICE

HELLO, i am billed first mcr replacement (Advantra freedom).But deneid as "Hospice service should be billed to medicare in intermediary". We used modifer "GW" (Service not related to the hospice patient's terminal condition )it is correct or wrong. But we billed Hospital visit's.Please used any modifier for this condition.Any help would be appreciated. Thank You...

re: MCR REPLACEMENT DENIED HOSPICE SERVICE

You are correct- any services not related to the reason patient is on hospice should be paid by the insurance.

BUT...Medicare Advantage plans feel that they can make their own rules. Their behavior is notorious for their purely profit-driven motives.

Appeal, appeal and appeal. If they deny, file a complaint with the state insurance commission.

And ask your doctor to consider not accepting MA plans and posting a sign in the waiting room saying so. Unless we stop accepting their plans, they will continue to treat us like crap.