Documentation of Hospice Technical and Clinical Criteria
Hours: 1.00 - 1.25
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.
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.
California Board of Registered Nursing
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
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.2000 contact hours for participating in this course.
Florida Board of Nursing
Florida Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.0000 contact hours for participating in this course.
American Nurses Credentialing Center
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.
Nurses will receive 1.25 Nursing Contact Hours after successfully completing this course.
Georgia Board of Nursing
Georgia Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
South Carolina Board of Nursing
South Carolina Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
West Virginia Board of Registered Nursing
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
New Mexico Board of Nursing
New Mexico Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
Arkansas State Board of Nursing
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.25 contact hours for participating in this course.
Kentucky Board of Nursing
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
Mississippi Board of Nursing
Mississippi Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
North Dakota Board of Nursing
North Dakota Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
Describe the technical requirements for documenting hospice election and eligibility.
Recall key components of clinical eligibility guidelines for three conditions.
Identify proper documentation practices related to hospice technical requirements and clinical eligibility.
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
Instructor: Susan Heinzerling, BSN, RN, CHPN
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 declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
The target audience for this course is: Nurses; in the following settings: Post-Acute Care.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
