Category: Compliance

Articles about maintaining compliance in the field of hospice.

Understanding Hospice Eval and Treat Orders

Provider Order To Eval And Treat For Hospice
In the world of healthcare, when a provider writes an order to "Eval and Treat" for hospice, they are asking for a thorough evaluation and a tailored treatment plan. This is specifically meant for patients who are being considered for hospice care. Let's delve into what this means and why it's crucial. What Does "Eval and Treat" for Hospice Mean?
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Understanding Hospice Eligibility for Terminally Ill Patients with Non-Alzheimer’s Dementia

As experienced caregivers, we know how crucial it is to accurately assess and determine hospice eligibility for our terminally ill patients. Today, let's focus on patients with non-Alzheimer's dementia. While the FAST scale is not applicable in these cases, there are other signs and symptoms we should be observant of to support and prove hospice eligibility. Let's dive in!
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Considerations of Care — Related and Unrelated Diagnoses for a Terminally ill Patient Receiving Hospice Services

Icd 10 Codes For Terminally Ill Patients
I understand that navigating the healthcare system, especially when dealing with a terminal illness, can be overwhelming for both patients and their families. It's important to have a clear understanding of how diagnoses related to the terminal illness, as well as unrelated diagnoses, can impact the medications and services covered by a hospice provider in the United States. Let's delve into this topic and shed some light on these crucial aspects.
Read MoreConsiderations of Care — Related and Unrelated Diagnoses for a Terminally ill Patient Receiving Hospice Services

Avoiding Problematic Language in Hospice Nursing Narratives

Proper documentation is crucial for hospice nurses to ensure Medicare compliance and maintain the patient's eligibility for services. Auditors, who may not have a healthcare background, review these documents to determine if the patient's condition is terminal. To avoid having the patient removed from service due to improper documentation, hospice nurses should be mindful of the words and phrases they use in their nursing narratives and progress notes. This article will provide guidance on what to avoid and why it is essential to paint a picture of a terminally ill patient.
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Reviewing Hospice Eligibility

general hospice criteria
It’s important to familiarize yourself with the key local coverage determination (LCD) facts for different terminal illnesses to avoid admitting patients who are not eligible for services only to be required to refund the money back to Medicare otherwise only have the patient on for one benefit period then discharged for failure to decline. These determinations provide guidelines on the coverage of hospice services for specific conditions. Let’s explore some essential information for each terminal illness based on the provided PDF files as noted in the resources section below.
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Empowering Hospice Nurses: Conquering Medicare Audits and Improving Documentation for Better Patient Care

Hospice Documentation Master Bundle
Don't let bureaucratic hurdles stand in the way of providing the best hospice care for your patients! The recent surge in audits and claim denials has put immense pressure on hospice nurses like us, but there's a way to turn the tide in our favor. "A Hospice Nurse's Guide to Hospice Documentation" and "A Supplemental Guide to Hospice Documentation" – essential tools developed by Shelley Henry, a seasoned expert in the field. These guides are part of the comprehensive Hospice Documentation Master Bundle that can revolutionize the way you document patient care. Imagine the satisfaction of knowing that your documentation is foolproof and supports the critical six month or less terminal prognosis. By following Shelley's expert advice, you can effectively communicate your patient's needs to third-party auditors and avoid those devastating claim denials that hurt both patients and your agency.
Read MoreEmpowering Hospice Nurses: Conquering Medicare Audits and Improving Documentation for Better Patient Care

Review of the Hospice Documentation Master Bundle

Hospice Documentation Master Bundle
Whether you are a new hospice nurse or an experienced one like me, I would hope that it is your desire to prove and support continued hospice eligibility for your patients and families. In my years as a hospice nurse, I've always felt the training on what words and phrases to use to support hospice eligibility was weak compared to the training received in other areas of nursing. Now, you have a means of getting the education you need in a very portable setup that you can take with you, use as you see fit, and bloom!
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Understanding HIS Requirements for Medicare in Hospice Care

One crucial aspect for new hospice nurses to grasp is the Hospice Item Set (HIS) requirements. In this article, I’ll explain the HIS requirements for Medicare, providing you with a comprehensive understanding to ensure compliance and quality care delivery.
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The Hospice Nursing Visit from a Nursing Perspective — Home Patients

This article is intended to help new visiting hospice nurses who are struggling to maintain work-life balance who may have been told by others their visits are either too long or being questioned why they are taking work home with them. This article will deal strictly with home patients though the bulk of the tips will apply to almost any type of patient or visit.
Read MoreThe Hospice Nursing Visit from a Nursing Perspective — Home Patients

Hospice Eligibility and Hospice Recertification — information for families and new hospice nurses

As an experienced hospice nurse, I understand how overwhelming and emotional it can be for terminally ill patients and their loved ones to navigate the hospice process. Hospice care is a compassionate and comprehensive approach to end-of-life care, designed to provide comfort, pain management, and emotional support to patients and their families. However, many people have questions about hospice eligibility and hospice recertification. In this article, I will provide a generalized guide to help you understand these important aspects of hospice care.
Read MoreHospice Eligibility and Hospice Recertification — information for families and new hospice nurses

Tips for new hospice nurses doing an admission

If you are a new nurse to hospice, one of the tasks you probably dread is doing an admission especially if you have scheduled visits the same day as the admission. I would like to share with you some tips that when applied may help lower your stress level, and help you remain on time even in cases where you have three to four visits including recertification to do the same day.
Read MoreTips for new hospice nurses doing an admission

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