Hospice Eligibility
Recertification
Hospice Scales
Medications
Hospice Levels of Care
100

Assumed prognosis of a hospice patient

What is 6 months

100

PPS on admission 30%

PPS on recertification assessment 20%

What is recertify patient

100

FAST 7C

What is Alzheimer's Disease

100

IV Dilaudid onset time

What is 5-10 minutes

100

Level of care for a patient who is actively dying but asymptomatic

What is Routine Homecare

200

FAST score required for hospice admission of a dementia patient

What is 7C or greater

200

Starting third benefit period

What is 180 days on hospice

200

NYHA IV

What is heart failure

200

Morphine

What is pain/respiratory distress

200

Level of care for a patient at home with elderly caregiver who is unable to continue to medicate as patient needs for comfort

What is General Inpatient

300

PPS score required for hospice admission

What is 50% or less

300

Face to Face required

What is 3rd+ benefit periods

300

ECOG 2

What is cancer diagnosis
300

Morphine onset time

What is 15-30 mins
300

Level of care needed for a patient who has family coming into town to assist with care, but there is a lapse in time between now and family arriving

What is Respite 

400

NYHA score IV

What is cardiac symptoms present at rest

400

Number of 90 day benefit periods

What is 2

400
PAINAD 7

What is severe pain

400

Stronges Benzodiazepine

What is Xanax

400

Level of care for a patient who's family requires frequent education and oversight to provide required care to maintain comfort

What is General Inpatient

500

Requirements for hospice admission for a cancer diagnosis

What is advanced or metastatic disease declining treatment or not eligible for treatment

500

Number of 60 day benefit periods

What is unlimited

500

PPS 10%

What is prognosis of 1-3 days

500

4 times stronger than Morphine

What is Dilaudid

500

Level of care progression for a patient who is at home, ran out of medications and is now symptomatic

What is General Inpatient followed by Routine Homecare
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