Beginning January 1, 2022, an RHC or FQHC can bill and get payment under the RHC All-Inclusive Rate (AIR) or FQHC Pro-spective Payment System (PPS), respectively, when their employed and designated attending physician provides services during a patient’s hospice election.
To get the RHC AIR or payment under the FQHC PPS:
- RHCs must report the GV modifier on the claim line for payment (along with the CG modifier) each day they pro-vide a hospice attending physician service.
- FQHCs must report the GV modifier on the claim line with the payment code (G0466 – G0470) each day they provide a hospice attending physician service. This applies when a physician, Nurse Practitioner (NP), or Physician Assistant (PA), working for or is under contract to an RHC or FQHC, provides hospice attending physician services to a Medicare patient who has elected hospice. This is effective for dates of service on or after January 1, 2022.
