We were privileged to have the support of (Hospice)...They nurtured and cared for my husband as if he was their only patient.

~ Wife of a patient

Your staff (at Hospice Home) was confident, thoughtful, kind and very loving to my mom. When we couldn't be there or take care of her needs, you took care of her.

~ Son of a patient

Healthcare Professionals

Hospice care treats the whole person, providing physical, emotional and spiritual support of your seriously-ill patients and their families and enhancing quality of life. The focus of hospice care is comfort – pain control and symptom management – rather than cure.

Referrals
Healthcare professionals, family members, friends, or patients themselves may request Hospice services. All patients must have an attending physician′s certification of prognosis for admission to the program, but the initial referral can come directly from someone close to the patient.

Hospice admission criteria require a six-month prognosis, but too often patients are referred in the last weeks or even days of their lives. The earlier a patient is admitted to the program, the greater the benefit to the patient, caregiver, and family.

We appreciate your interest in care from Hospice of the Piedmont. Please call us for more information anytime during normal business hours (Monday through Friday, 8 a.m. to 5 p.m.) at 336.889.8446. After hours or on weekend, please leave a message and we will get back to you within 30 minutes.

To fax in referral information, please download our referral fax and include the following items:

  • History and physical (H&P) form/FL2/hospital discharge summary for the patient
  • Copy of the patient’s demographic (face) sheet
  • Medication list
  • Progress notes or other documentation
  • Physician order for Hospice consultation

Criteria for Hospice Eligibility

  • Certification of a terminal illness with a prognosis of six months or less
  • Desire for comfort care rather than curative care
  • Residency in Guilford, Randolph, Davidson, or Forsyth counties

Many Hospice services are reimbursed by Medicare, Medicaid, and private insurance coverage. However, with generous community support, no one is denied care because of inability to pay.

For patients covered by the Medicare/Medicaid Hospice benefit, all needs relative to the primary illness are covered with no deductibles or co-payment. That includes medications, oxygen, hospital bed or any other needed home medical equipment or supplies. The attending physician continues to bill as usual.

Attending Physician Payment Guide for Hospice Patients

Situation #1
  • Physician has been designated by the patient as the attending physician.
  • Attending Physician is not an employee of the hospice.
  • Services are related to the hospice patient’s terminal illness.
Use: “GV” modifier
  • Attending physician is not employed or paid under agreement by the hospice.

Situation #2
  • Physician is covering for a hospice patient′s designated attending physician.
  • Physician is not an employee of the hospice.
  • Services are related to the hospice patient′s terminal illness.
Use: “GV” modifier
  • Attending physician is not employed or paid under agreement by the hospice.
Use: “Q5” modifier
  • Services being billed by the attending physician were provided by a covering physician.

Situation #3
  • Physician has been designated by the patient as the attending physician.
  • Attending physician is not an employee of the hospice.
  • Services are NOT related to the hospice patient′s terminal illness.
Use: “GW” modifier
  • Service is not related to the hospice patient′s terminal condition.

 

Downloadable Resources

Helpful tips and information

Notice of Privacy Practices

Referral Fax Forms

Volunteer Login | Notice of Nondiscrimination

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