LCD criteria
This is the individual who determines if the patient is eligible for Hospice services.
Who is the medical director?
These are products that many hospice patients need to manage bowel and bladder issues and should be included on the plan of care order.
What are incontinence supplies?
This is the document with specific instructions for patient personal cares.
What is the aide care plan?
True or False: Chaplains may obtain verbal orders
False! MSWs, chaplains and aides may NOT take verbal orders.
True or False: If the patient is unable to sign your visit and you can not locate a caregiver to sign your visit, you should document unable to obtain signature with the reason.
True
Documentation from these individuals on the hospice team is critical to justify the need for ongoing eligibility.
Who are ALL hospice team members?
True or False: If there is no durable medical equipment present at the admission visit, then list "none" on the plan of care order.
False! List all durable medical equipment on the plan of care order that the patient either currently has present or the agency intends to use during the episode of care.
Every visit or 2 times per week are examples of this.
What is frequency?
This individual should be written in as the medical director.
Who is Dr. Brian Wolter or Dr. Adam Sternberg?
ALL documentation is required within this timeframe.
What is 24 hours?
The app on my device which can assist in understanding hospice eligibility guidelines.
What is Hospice At Your Side?
2 main criteria for goal writing
What are:
1. Should be patient specific?
2. Should include a goal timeframe?
If a patient is scheduled to receive a shower and refuses, but is agreeable to a bed bath, these are the next steps.
What is notify the case managing nurse and obtain verbal order to provide bed bath? Aide care plan must be updated.
The bereavement evaluation must be completed within this timeframe after agency admission.
What is 5 days?
This document must be provided to the patient/family within 5 days of admission, if requested at admission.
What is the addendum?
True or False: Even if a patient does not meet every criteria listed for a disease specific condition in the LCD guidance, the patient may still qualify for hospice services.
True!
This is how often the comprehensive assessment should be updated.
What is at least every 15 days or any time the patient has a change in condition?
True or false: the hospice agency may bill for an aide visit as long as the aide was present with the patient.
False. A skilled task must have been provided.
On the admission paperwork, choose this statement versus writing in the medical director's name to avoid needing a change of attending if the medical director no longer follows the patient.
What is "I do not wish to elect"
If the addendum lists medications that will not be covered by the hospice agency, this must be documented regarding those medications:
What is why the medications are not related to the terminal diagnosis?
Non-disease specific baseline guidelines state that patients must be dependent on assistance for two or more activities of daily living including:
What is feeding, ambulation, continence, transfers, bathing and/or dressing?
This is the minimum number of care hours that need to be provided in one week for all hospice patients.
What is 5 hours?
True or False: If the aide care plan states to change linens the first visit of the week (2 times per week frequency) but the aide does not have time, it is acceptable to move that task to the second visit of that week.
False!
It is appropriate to apply a topical analgesic as long as you document why the patient requires it and ......
Only if there is an order for the medication! (This is true of tubular compression also)
If a patient/family did not initially request an addendum and then requests an addendum later in the episode of care, the agency has this many days to deliver it.
What is 3 days?