Referrals/Admissions
hospitals, primary care provider, palliative care, care facility, family, friend, other hospices
Who can refer to hospice?
patients starting hospice service meets:
1. 6 month terminal diagnosis
2. MD referral
3. Goals of Care
4. Medicare election
What is criteria?
Document required at the start of each benefit period.
What is the Certification of Terminal Illness?
routine, general inpatient, respite continuous care
What are levels of care?
The top discharge reason for hospice programs.
What is death?
provider order is required to begin services
What is a hospice referral?
Based on expected disease trajectory, patient must have this.
What is a life expectancy of 6 months or less?
length of benefit periods 1 & 2
What is 90 days?
The only level of care that may have room and board charge.
What is routine?
An agency driven discharge for caregiver safety.
What is discharge for cause?
Also called the hospice consent form
Medicare Hospice Election Form
Document signed by a provider to start hospice service.
What is a physician order?
Provider visit required to begin 3rd benefit period or higher.
What is Face to Face?
Care that requires inpatient hospital or hospice setting.
What is GIP?
Two types of discharge used when patient is leaving the service area.
What are relocation and transfer?
must be signed before doing patient assessment
What is Consent?
Signed form to select insurance carve out for hospice care.
What is the Medicare Election form?
length of benefit period 3 and higher
What is 60 days?
Requires 8+ hours of hands-on patient care in a calendar day in the home setting.
What is continuous care?
Patient driven discharge to end hospice service at a particular date and time.
What is a revoke/revocation?
Patient must identify this person on the consent form.
What is the Attending Physician?
Meeting the holistic needs of an individual and his/her caregiver/family for whom curative care is no longer the preferred option. patient centered care
What are Hospice goals of care?
Benefit periods that never repeat.
What are lifetime benefit periods?
Patient care that is solely about the caregiver.
What is respite?
Agency driven discharge when a patient no longer meets hospice criteria. Notice must be given to patient 48 hours in advance.
What is decertification?