Live Discharges
The patient has decided to end Hospice services to seek curative care
What is revocation?
Charting for services that you did not provide
What is fraud?
The FAST scale,PPS, Weights, MAC
What are ways to objectively show eligibility and decline in a Hospice patient?
Name three (3) types of PHI identifiers
What is: 1. name 2. address (city, state, zip) 3. social security number 4. driver's license 5. birth certificate number 6. all elements of dates (i.e. DOS) 7. phone numbers 8. fax numbers 9. medical record numbers 10. health plan beneficiary numbers 11. account numbers 12. full face photographic images
The 4 required members of the IDT
Who are the physician, registered nurse, social worker and pastoral or other counselor?
This document must be given to a patient/caregiver at least 2 calendar days prior to the day of discharge
What is the NOMNC ( Notice of Medicare Non-Coverage)?
It is a violation of the Traditions Policy to do this when you are aware of fraudulent activity
What is nothing? (What is to not report it?)
Life expectancy of 6 months or less
What is the timeframe the Hospice MD certifies as the life expectancy of a Hospice Beneficiary?
This container should never contain PHI
What is a trash can?
How often an RN must make an on site visit to the patient home
What is no less frequently than every 14 days?
The agency is no longer able to provide services because the patient is 1) out of service area or 2) in a non-contracted facility
What is reason for a Service Area Discharge?
Receiving a gift in exchange for referrals
What is a kickback?
At the time of admission, this must be obtained by the Hospice Medical Director and patients attending if they have one within 2 calendar of the start of care
What is a verbal certification?
Posting a picture of a patient with the caption "I love my job!"
What is a HIPAA Violation?
Provided to family members for 13 months following the death of a loved one
What is bereavement care?
This only can happen once per benefit Period
What is transfer?
Cash, cash equivalents, gift cards, and high value gifts
What are gifts that are expressly prohibited at Traditions
5 days
What is how long the IDT has to complete the comprehensive assessment?
The amount of information about a patient that can be released to people who have a need to know
What is Minimum Necessary?
By electing the Medicare hospice benefit, an individual waives all rights to Medicare Part___
What is "A"?
This should happen very rarely, have very specific circumstances, and have sufficient support documentation as to the reason why
What is discharge for cause?
An anonymous way for employees to report compliance issues/concerns
What is the Compliance Hotline?
The most rewarding, challenging, and meaningful work. Work that creates lasting impressions on those we meet and support.
What is Hospice! Thank you for your dedication to your patients, families, your team and Traditions Health!
These are the 3 times when we can release resident PHI without prior authorization from a patient
What is treatment, payment, or operations?
Before the start of 3rd Benefit period
What is when the Face-to-Face evaluation should be completed