Hospital/Hospice Tools
Contracts
Legal Issues
Hospital-Hospice Partnerships
Hospice and Palliative Care Financing Considerations
Hospice Tools
- Sample Hospital-Hospice Contract reviewed for HIPAA compliance
- Sample Hospice Nursing Facility Contract reviewed for HIPAA compliance
These documents detail the specific partner responsibilities to be included in a formal written document. Contract language is HIPPA compliant and consistent with the legal and regulatory provisions of the Medicare Hospice Benefit and with the relevant requirements of New York State. Providers should have contract language reviewed by health care counsel to assure compliance with the requirements of other States
These two contracts are provided courtesy of Connie A. Raffa, JD, LLM of the law firm of Arent Fox.
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Structuring Palliative Care Programs (Legal Opinion)
Legal considerations and analysis of potential structures that a hospice might employ in setting up an entity that would provide palliative care services to patients. -
Health Care Alerts:
Palliative Care: The Legal and Regulatory Requirements (Part 1 of 2)
Palliative Care: The Legal and Regulatory Requirements (Part 2 of 2)
These two Health Care Alerts are provided courtesy of Connie A. Raffa, JD, LLM of the law firm of Arent Fox. -
Structuring Hospital-Hospice Partnerships: Legal Issues (Power Point)
- Legal Issues in Hospital-Hospice (and Other) Partnerships (Power Point)
- Meeting the Legal and Regulatory Requirements for Reimbursement Under Medicare & Medicaid
(Power Point) - Choosing a Good Death: Palliative Care Options & Legal Requirements
HOSPITAL-HOSPICE PARTNERSHIPS:
- Hospice Provision of Palliative Care - 2006 Survey Results In 2006, CAPC and NHPCO conducted a survey to re-assess the extent to which the hospice community is providing palliative care services to patients outside the Medicare Hospice Benefit. The data-collection was conducted to update the findings of a similar study in 2002.
- CAPC/NHPCO/HAA 2002 Hospice Survey Data
- Hospital-Hospice Partnerships in Palliative Care: Creating a Continuum of Service
- Tools for Hospital-Hospice Partnerships:
- Patient Consent Form
- Palliative Care Consultation Request for Information
- Billing Information for Primary Physicians of Palliative Care Consultation Patients
- Billing Information for Primary Physicians of Hospice Patients
- Consults Billing Sheet
- ICD-9 Codes
- Hospital-Hospice Partnerships On Screen, Bridging Gaps: Creating a Continuum (Power Point)
- Palliative Care: Trends and Treatment Pathways. This Power Point presentation provides the following tools:
- Physicians Order Sheet (Slide numbers 62 and 63)
- Chart Audit (Slide number 69)
- Process Audit (Slide number 70)
- Palliative Care Survey (Slide number 71)
- Nursing Assistant Pain Management Survey (Slide number 71)
- Family Satisfaction Survey (Slide number 72)
- Palliative Care in Action: Bridging Gaps in Care (Power Point)
- Choosing a Model (Power Point)
- Meier DE. When pain and suffering do not require a prognosis: working toward meaningful hospital-hospice partnership. J Pall Med. 2003;6:109-114.
Survey findings demonstrate that the percentage of respondents offering palliative care services to non-hospice patients has risen dramatically – from 26.2% in 2002 to 55.1% in 2006. The primary settings for these services are in the home (64.8%) and in a hospital (52.3%).
The Survey results are one chapter in a publication entitled: Navigating Palliative Care: Positioning Hospice for the 21st Century. This resource also includes a series of ten case studies documenting different program design models and a collection of tools and references to assist hospice providers who seek to establish and/or extend palliative care services. To order a copy of this publication, contact the NHPCO Marketplace at www.nhpco.com and go to Marketplace.
HOSPICE AND PALLIATIVE CARE; FINANCING CONSIDERATIONS:
- How to Fund Your Palliative Care Program:
Reimbursement for Hospice Services (Part 1 of 2) (Power Point) - How to Fund Your Palliative Care Program:
Reimbursement for Hospice Services (Part 2 of 2) (Power Point) - Managing Financial Resources: A Work in Progress - Case Study
Hospice of the Bluegrass Collaborations.
This Power Point presentation provides the following tools:
Palliative Care Center of the Bluegrass (Slide numbers 34-42)
Central Baptist Hospital/Hospice of the Bluegrass (Slide numbers 44-46)
Outpatient Clinic (Slide numbers 74-79)
Patient/Family Survey Results (Slide numbers 88-89) - Sample Budget Revenue
- Sample Fee Schedule 2002 - Palliative Care Center of the Bluegrass
- Sample Visit Billing Charts
- Physician Billing: Medicare Payments to Physicians (Power Point)
- Sample Letter to Hospitals: Explains that there is no requirement for the hospice patient requiring continuing inpatient care to physically leave the hospital in order to begin receiving inpatient hospice services.
- Reimbursement for Hospital Services: Practical Strategies for the Real World (Power Point)
- Physician Billing Grid
- Care plan Oversight Communication: Reimbursement for Hospice Services
- Hospice Nurse Liaison Job Description
- Common Misperceptions about Hospice
- A recent CMS communication addresses the issue of the Medicare hospice benefit and emphasizes the benefits of hospice care for beneficiaries. It also advises physicians that they need not be concerned about CMS penalties when certifying an individual for hospice care.http://www.cms.hhs.gov/manuals/pm_trans/AB03040.pdf