2015 Annual Meeting & Exposition

504: How to Bring a Medical Perspective to Hospice: Documenting Relatedness of Comorbid Conditions to Hospice Diagnosis and Prognosis (Room Bayou CD)

29 Oct 15
5:00 PM - 6:00 PM

Tracks: Education Leadership Track, Educational Session, Hospice

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.