BILLING
This term refers to the Medicare benefit that provides comprehensive hospice care services for eligible patients.
What is HMB?
Employees receive up to 3 days of leave for this type of family loss group.
What are siblings, grandparents, grandchildren, or in-laws?
This hospice action is never initiated by AMOREM and must always be a voluntary, informed choice by the patient or representative.
What is revocation?
These standards include preparing for a visit by gathering assessment tools, coordinating with the primary team, scheduling the visit, and reviewing the patient’s chart.
What are exceptional visit standards?
These messages are required for patient-related changes such as location, level of care, payor source, or death.
What are green sheet messages?
This document ensures that a patient is fully informed of their rights before services begin and allows them to exercise those rights in accordance with state law.
What is the Patient Bill of Rights (BOR)?
This is the maximum PTO balance allowed to carry over each accrual year.
What is 320 hours?
This hospice action allows a patient to change hospice providers once per election period while maintaining continuity of the benefit period.
What is a transfer?
This practice involves sanitizing hands and equipment before and after each patient visit to prevent the spread of illness.
What is infection control?
This system location in Suncoast must be used for timely communication because messages sent in this area are delayed until replication occurs.
What is Replication?
This person or role should be contacted first when Medicare abuse is suspected internally.
Who is the Compliance Officer or Human Resources?
This discipline is expected to complete 4–5 visits per week with a 60% direct care target.
What are most clinical disciplines including nursing, social work, and chaplaincy?
This rule states that a patient cannot be discharged and readmitted to hospice on the same day using the hospice Medicare benefit.
What is the same-day re-admission prohibition under HMB rules?
This tool should be used as a reference during visits to support patients and caregivers.
What is the Patient & Caregiver guidebook?
This type of message includes urgent safety concerns such as suicidal ideation or medication diversion.
What are Red Alerts?
This option on Form 23c is selected when a patient revokes hospice coverage but continues to receive care in order to pursue aggressive or alternative treatment outside of the established plan of care.
What is “to seek aggressive or other treatment outside of the plan of care”?
Employees who fail to meet full notice requirements but give at least two weeks may receive this percentage of PTO payout.
What is 40%?
This notice must be given to Medicare patients at least two days before discharge when coverage is ending.
What is the Notice of Medicare Non-Coverage (NOMNC) Form CMS-10123?
When visiting off-site partners, this guideline encourages speaking with key individuals and using the “3 in and 3 out” approach.
What is professional presence in community settings?
This type of information should be included in messages and limited to what is necessary for the staff member’s role.
What is need-to-know information?
This type of visit must be completed no more than 30 days prior to the recertification date and is considered non-billable.
What is face-to-face documentation?
This combination of mission, vision, and values shapes organizational culture and behavior.
What is guiding principles of AMOREM?
This organization and state agency must be notified when a discharge for cause occurs.
What are Palmetto GBA and NC DHHS?
This action ensures that important concerns or updates are shared with the appropriate team members and leaders.
What is communicating need-to-know information (NTK)?
This format is used for non-urgent patient updates and includes Situation, Background, Assessment, and Recommendation.
What is SBAR?