Tag: Charting

How 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.
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Educational Topics for Hospice Nurses During Admission and Post-Admission Visits

choosing hospice care is not giving up hope it is redefining hope
As a hospice registered nurse case manager, your role is pivotal in providing compassionate end-of-life care to patients and supporting their families. Effective education during admission and post-admission visits is crucial to ensure comprehensive care and minimize unnecessary visits and calls. Here's a guide to the educational topics you should cover during these visits, with a focus on patient comfort and preparing for a dignified end-of-life journey.
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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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Understanding the Patient’s Question: When Will I Die?

Wirlpool
Navigating the tender journey of hospice care, Compassion Crossing offers guidance on addressing the pivotal question of “when?”—a beacon for caregivers seeking solace and understanding in life’s final chapter.
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Documenting Observational Signs of Discomfort: A Guide for Hospice Nurses and Families

Person Writing In A Journal
As a hospice nurse, I understand the importance of documenting observational signs of discomfort in terminally ill patients. Sometimes, patients may not fully express or report their discomfort accurately, so caregivers and healthcare professionals must be attentive and document these signs. In this article, I will guide hospice nurses and families on documenting such signs and the benefits of journaling for both parties involved.
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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 guide what to avoid and why it is essential to paint a picture of a terminally ill patient.
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Understanding Heart Failure Stages and Assessment

Heart failure is a complex medical condition that can impact the quality of life of patients, especially those in hospice care. As a hospice nurse, assessing the heart failure stage is crucial to providing appropriate care accurately. This article will explore the New York Heart Failure Classification System, its stages, and how to assess patients for their stages. Additionally, we will emphasize the importance of documentation in compliance with Medicare guidelines for terminally ill patients with heart failure.
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Understanding Functional Decline in the Natural Dying Process

Explore the journey of functional decline in the natural dying process. This article provides insight for caregivers and families, emphasizing the importance of documenting changes to enhance care and decision-making in life’s final chapter.
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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.
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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.
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