Category: Compliance
Articles about maintaining compliance in the field of hospice.
Hospice Recertification and Eligibility: What You Need to Know as a Family Member
Understanding hospice recertification is crucial for ensuring your loved one receives the necessary care. Learn about the process, what to expect, and how to prepare.
Read MoreHospice Recertification and Eligibility: What You Need to Know as a Family MemberThe Unforeseen Recovery: When Hospice Care Leads to Healing
Hospice care is often seen as the final chapter, but sometimes, it leads to unexpected recoveries. This article explores stories of resilience and healing in hospice care, reminding us that hope and recovery can still be part of the journey.
Read MoreThe Unforeseen Recovery: When Hospice Care Leads to HealingUnderstanding Emergency Admissions in Hospice
Emergency admissions in hospice provide rapid care for patients nearing the end of life. This process involves quick referrals, expedited assessments, and immediate provision of necessary equipment and medications. Hospice teams work efficiently to ensure patients receive comfort and support during this critical time.
Read MoreUnderstanding Emergency Admissions in HospiceBest Practices for IDG Meetings in Hospice Care
Hospice care is about providing compassionate support and comfort to patients during their end-of-life journey. Interdisciplinary Group (IDG) meetings ensure the highest quality care for hospice patients and their families. These meetings bring together a diverse team of professionals to discuss patient care plans, address concerns, and collaborate on providing holistic support. However, these meetings can sometimes become overwhelming and time-consuming. Let's explore some best practices to make the most of IDG meetings while keeping patient-centered care at the forefront.
Read MoreBest Practices for IDG Meetings in Hospice CareCompliance-based, Eligibility Driven Hospice Documentation: Tips for Hospice Nurses
Compliance-based, Eligibility Driven Hospice Documentation: Tips for Hospice Nurses" offers comprehensive guidance for hospice professionals. This valuable resource provides practical examples for various aspects of hospice care documentation, including admissions, recertifications, IDG/IDT notes, continuous care, and GIP records. Enhance your documentation skills while ensuring regulatory compliance.
Read MoreCompliance-based, Eligibility Driven Hospice Documentation: Tips for Hospice NursesHospice General Inpatient Care: a Guide for Families and Nurses
Hospice General Inpatient Care (GIP) provides short-term, intensive care for patients experiencing severe pain or symptoms that can't be managed at home. Learn about GIP eligibility, benefits, and how it helps both patients and families during challenging times. Discover key details and important considerations for this essential hospice service.
Read MoreHospice General Inpatient Care: a Guide for Families and NursesHow to Identify End-Stage Parkinson’s for Hospice Admission
Identifying end-stage Parkinson's for hospice admission can be challenging. This article explores key criteria, including decline in function, weight loss, swallowing difficulties, and mobility issues. Learn how hospice professionals assess patients and utilize guidelines to ensure appropriate and timely hospice care for those with advanced Parkinson's disease.
Read MoreHow to Identify End-Stage Parkinson’s for Hospice AdmissionCompelling Hospice Nursing Narratives: Ensuring Continued Eligibility and Comprehensive Care
This guide covers how to write effective hospice nursing narratives, key documentation areas, and the importance of detailed and negative-based wording to support continued hospice eligibility.
Read MoreCompelling Hospice Nursing Narratives: Ensuring Continued Eligibility and Comprehensive CareAdmission Nurse: Essential Questions to Ask During the Hospice Admission Visit
As a hospice admission nurse, asking the right questions is crucial for assessing patients' eligibility and providing compassionate care. This article explores critical questions to understand the patient's condition, decline timeline, hospitalizations, functional abilities, cognitive status, and comorbidities. By gathering this information, nurses can support informed decisions, tailor interventions, and ensure a "good death" for patients and families.
Read MoreAdmission Nurse: Essential Questions to Ask During the Hospice Admission VisitAssessing Patients on the FAST Scale: A Guide for Nurses
As a nurse who has cared for many terminally ill individuals with Alzheimer's disease over the years, I understand the importance of accurately assessing their functional decline using the Functional Assessment Staging Tool (FAST). The FAST scale provides valuable information about the progression of Alzheimer's disease and helps guide appropriate care planning for patients and their families. In this guide, I will walk you through the process of assessing patients on the FAST scale, starting from stage 1 and discussing when to stop reading the scale for determination. I will also provide three examples of patients at various stages of the FAST scale.
Read MoreAssessing Patients on the FAST Scale: A Guide for NursesHospice Eligibility for Diverse Dementia Diagnoses
Exploring Hospice Eligibility Criteria for Alzheimer's, Vascular, Lewy Body, Frontotemporal and other Dementias: Empowering Hospice Nurses to Provide Compassionate End-of-Life Care
Read MoreHospice Eligibility for Diverse Dementia DiagnosesHow RN Case Managers Can Maintain Good Compliance with Medicare Guidelines
As a seasoned hospice nurse, I recognize the significance of adhering to Medicare guidelines to ensure top-notch patient care. Medicare guidelines offer a roadmap for hospice providers to offer exceptional care to terminally ill patients and their loved ones. Nonetheless, upholding compliance with these guidelines can be a hurdle, especially for smaller hospice providers with limited resources. In this article, we'll delve into how RN case managers can effectively ensure compliance with Medicare guidelines.
Read MoreHow RN Case Managers Can Maintain Good Compliance with Medicare GuidelinesPost-Admission Visit in Hospice Care: What to Expect and Questions to Ask
If you or someone you love has a serious illness that cannot be cured, you may have heard of hospice care. Hospice care is a special kind that focuses on making the patient comfortable and peaceful in their final days. Hospice care also supports the family and caregivers emotionally and spiritually.
When a patient joins hospice care, they will have a special meeting with a hospice nurse. This meeting is called the post-admission visit. It is an especially important visit because it will help the patient and the family get to know the hospice team and learn more about the care they will receive.
This article will explain what to expect and what to ask during the post-admission visit. We will also provide tips and resources to help you and your loved one make the most of this time. We hope this article will help you feel more prepared and confident about the hospice journey.
Read MorePost-Admission Visit in Hospice Care: What to Expect and Questions to AskEducational Topics for Hospice Nurses During Admission and Post-Admission Visits
Discover essential educational topics for hospice nurses during admission and follow-up visits. Learn how to effectively communicate with patients and families, manage symptoms, provide emotional support, and navigate end-of-life care. Enhance your skills to deliver compassionate, comprehensive hospice care.
Read MoreEducational Topics for Hospice Nurses During Admission and Post-Admission VisitsHospice Care Eligibility: Understanding the Six-Month Rule
Discover the true nature of hospice care in the U.S. This guide clarifies eligibility, focusing on comfort for those with a terminal prognosis of six months or less, and the support available for families and caregivers during this journey.
Read MoreHospice Care Eligibility: Understanding the Six-Month RuleUnderstanding Hospice Eval and Treat Orders
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?
Read MoreUnderstanding Hospice Eval and Treat OrdersUnderstanding Hospice Eligibility for Terminally Ill Patients with Non-Alzheimer’s Dementia
Navigating hospice eligibility for non-Alzheimer's dementia patients demands a personalized approach. Unlike Alzheimer's, there's no definitive scale, necessitating assessments of functional decline, mobility, communication, incontinence, weight loss, overall condition, and comorbidities. Effective documentation, clinical judgment, and compassionate care are crucial for supporting these patients and families.
Read MoreUnderstanding Hospice Eligibility for Terminally Ill Patients with Non-Alzheimer’s DementiaConsiderations of Care — Related and Unrelated Diagnoses for a Terminally ill Patient Receiving Hospice Services
Explore the complexities of hospice care for terminally ill patients with multiple diagnoses. Learn how to distinguish between related and unrelated conditions, understand Medicare coverage, and navigate the challenges of providing comprehensive care while adhering to hospice regulations and ethical standards.
Read MoreConsiderations of Care — Related and Unrelated Diagnoses for a Terminally ill Patient Receiving Hospice ServicesAvoiding 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 guide what to avoid and why it is essential to paint a picture of a terminally ill patient.
Read MoreAvoiding Problematic Language in Hospice Nursing NarrativesReviewing Hospice Eligibility
It’s essential 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. If you are the admitting nurse, please do not just admit because you were told to admit by someone, regardless of the position or standing of the person or party that told you to admit. Use your critical thinking and clinical judgment skills to evaluate the patient for admission. Most doctors will write "evaluate and treat" or something to that effect; never lose sight of the "evaluate" portion of the doctor's order.
Based on the provided PDF files, as noted in the resources section below, let’s explore some essential information for each terminal illness.
Read MoreReviewing Hospice EligibilityFailure to Decline in Hospice – The Good and The Ugly
If your loved one is facing a discharge from hospice due to failure to decline, it's crucial to comprehend the situation clearly. This discharge indicates that the healthcare team believes your loved one's condition has stabilized and no longer requires hospice care. While this might be a positive sign, it's important to weigh the pros and cons before making decisions. Let's delve into both the positive and negative aspects of this situation to help you navigate it effectively.
Read MoreFailure to Decline in Hospice – The Good and The UglyEmpowering Hospice Nurses: Conquering Medicare Audits and Improving Documentation for Better Patient Care
This article provides valuable insights for hospice nurses on improving documentation to conquer Medicare audits and ensure claims are not denied due to insufficient evidence of terminal prognosis. The author shares real-life examples of visit narratives before and after implementing documentation best practices learned from an expert. The tips focus on capturing negative condition changes, disorientation levels, and functional decline to paint a clear picture of the patient's terminal state, ultimately leading to better patient care.
Read MoreEmpowering Hospice Nurses: Conquering Medicare Audits and Improving Documentation for Better Patient CareReview of the 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!
Read MoreReview of the Hospice Documentation Master BundleA Day In The Life Of A Hospice Nurse
What does a typical day, a typical week look like for a visiting hospice registered nurse case manager look like?
Read MoreA Day In The Life Of A Hospice Nurse