This page provides essential resources to help coders, medical providers, supervisory staff, and performance improvement staff ensure that work is properly coded and billed. It will also benefit those seeking to better understand how appropriate criteria for service and associated billing codes can impact the successful implementation of palliative care.

This content was made available at a seminar led by Lisa Withrow that was hosted by the NHHPCO in early 2015, and funded by a grant from the NHCCC.

Seminar Slides

E/M Audit Tool
Palliative Performance Scale

Assisted Living, New
Assisted Living, Subsequent Visits
Home Visit, New
Home Visit, Established
Outpatient, New
Outpatient, Established

Threshold Time for Prolonged Visit Codes 99354 or 99355, Outpatient
Threshold Time for Prolonged Visit Codes 99356 or 99357, Inpatient

Clarification for Inpatient Consultation Codes
Inpatient Consultation - Medicare
Inpatient Consultation - Non Medicare

Initial codes for EH Trigger

Lisa Withrow, APRN, FNP-C, ACHPN, is a certified Family Nurse Practitioner with a degree focus in Palliative Medicine and 19 years of experience in the medical field. She specializes in complex symptom management for chronic illness and life threatening disease. As part of the Palliative Care Team at the Elliot Hospital, Lisa has increased access for patients in need of palliative care by developing a trigger system.