Hospice

Question 1

How does one certify for hospice coverage under Medicare?

Answer 1

The patient must be entitled to Medicare Part A and be certified as terminally ill by the attending physican and to the hospice medical director.

Question 2

List the minimum requirements in a hospice clinical record

Answer 2

1. inital/comp. assessment, 2. plan of care 3. signed patient rights, hospice election, informed consent, 4. phy orders; med/tx; 5. outcome measure data 6. Phy cert/recert 7. copies of advance directive

Question 3

Name the Medicare COP levels of hospice care.

Answer 3

Routine home care, General Inpt, Continuous Care, Inpt Respite

Question 4

Describe the Medicare Hospice benefit period

Answer 4

Begin with a 90 day period, followed by a second, then an unlimited number of 60 day periods.

Question 5

What data sets are captured and maintained within hospice?

Answer 5

Patient data, Resource data

Question 6

How is hospice reimbursed?

Answer 6

On a per diem basis