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CAPC Palliative Care Discussion Forum
Palliative Care Out-Patient Services

Next Reply: Re:Private Palliative Practice with Hospice
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Post Private Palliative Practice with Hospice
Author: Roli
Date: Mar 7, 2010 12:13 pm
I am contemplating starting a private palliative care practice providing consultations in office, home visit as appropriate and recommendations for hospice appropriateness. My intention is to additionally start my own hospice agency and provide the care as the medical director. To your knowledge is this legal and if not why? How do Stark Laws come in to play here? As a consulting physician and the hospice referral likely would come from the referring doctor does this change anything? Is anyone out there doing this at this time? Thanks for your input.
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Re:Private Palliative Practice with Hospice (by SharolHerr on 05/11/2010)
I would encourage you to be very cautious anticipating that you would want to do both--Palliative Care and Hospice. There are very clear guidelines about requirements for starting a hospice program defined by Medicare and the Joint Commission. There could be the potential for the appearance of a conflict of interest in providing both. I would encourage you to consult a health care attorney as well as the Medicare guidelines. The manuals are pretty thick outlining requirements for a certified hospice program. Sharol Herr, RN, BSN, MSEd, CHPN; Nurse Clinician/Education Coordinator; Mount Carmel Health Palliative Care Leadership Center; Columbus, Ohio.

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