Bringing a Medical Perspective to Hospice: Documenting Relatedness of Comorbid Conditions to Hospice Diagnosis and Prognosis is proudly presented to you by National Association for Home Care & Hospice. Thank you. We hope that you enjoy your course.
In 2014, the Centers for Medicare & Medicaid Services (CMS) began returning to provider (RTP) any claims with manifestation codes as principal diagnoses and proposed new definitions for “terminal illness” and hospice “related condition.” CMS is also gathering additional data to formulate hospice payment reforms that require hospices to focus on a patient’s prognosis instead of diagnosis, clearly documenting “relatedness” and hospice eligibility. This session will explore ways hospices can develop and implement a deliberate, thoughtful process for determining a patient’s prognosis and what is related to it, as well as review required elements for documenting eligibility.
Objectives:
- Discuss the process of establishing the principal hospice diagnosis and related conditions
- Discuss approaches to determining whether treatments and services are related to the principal diagnosis and related conditions
- Review hospice eligibility requirements and share tips for documenting eligibility
- Suggest approaches hospices can take to educate medical directors and hospice physicians about how to establish prognosis and determine relatedness
Faculty: Jennifer L. Ellis, MD, MPH, HMDC, Regional Medical Director , AL, GA, MA, MS, NC, PA, TN, VA, Aseracare Hospice, Clarkville, TN
Continuing education units are not available for this session
Track: Hospice