Hospices must meet all technical requirements for documentation while demonstrating clinical eligibility for hospice. Non-compliance can result in significant payment penalties. In this course, you will learn about the technical requirements for payment related to the hospice election statement, Notice of Election, initial certification, recertification, physician narrative, and face-to-face visit. You will also learn about the clinical aspects of hospice eligibility related to prognosis and diagnosis and the role of Local Coverage Determination (LCD) guidelines. Common problems related to documentation of eligibility and ways to prevent these problems will be reviewed. The goal of this course is to provide nurses in hospice and palliative care with knowledge of documentation to meet hospice technical and clinical criteria.
Provider approved by the California Board of Registered Nursing, CEP# 13791
Nurses will receive 1.25 contact hours for participating in this course.
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Florida Board of Nursing (CEBroker Provider #50-290)
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Georgia Board of Nursing (CEBroker Provider #50-290)
South Carolina Board of Nursing (CEBroker Provider #50-290)
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
New Mexico Board of Nursing (CEBroker Provider #50-290)
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
Mississippi Board of Nursing (CEBroker Provider #50-290)
North Dakota Board of Nursing (CEBroker Provider #50-290)
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Hospice Technical Criteria
Hospice Admission
Certification of Terminal Illness
Choice of Hospice Attending Physician or Provider
Elements of the Hospice Election Statement
Navigating the Notice of Election Process
Face-to-Face Encounter
Review
Summary
Section 3: Hospice Clinical Eligibility
What Information is Necessary?
Challenges
Hospice Team Communication
The Medical Director Role
Review
Summary
Section 4: Clinical Applications
Scenario 1: Mrs. Gaither
Scenario 2: Mr. Ritter
Scenario 3: Mr. Dean
Review
Summary
Section 5: Conclusion
Course Summary
Course Contributors
Resources
References
Susan Heinzerling earned a Bachelor of Science in biology and a Bachelor of Science in nursing from the University of North Carolina at Chapel Hill as well as a Master of Life Sciences in physiology from North Carolina State University. She became a doctoral candidate in immunology at the University of South Alabama. Her research experiences in the biomedical sciences led to an interest in evidence-based practices. Ms. Heinzerling began her nursing career as a medical/surgical nurse. Renal patients in acute care with multiple chronic conditions and repeated hospitalizations inspired her practice of hospice nursing. She has worked as a hospice admissions nurse and a hospice RN case manager in both a large urban setting and a rural community. Disclosure: Susan Heinzerling, BSN, RN, CHPN has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
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