Review all clinical documentation for compliance with Hospice documentation standards

Hospice Comprehensive Review
Auditor Will:
- Review all new admissions for referral information, Notice of Election, Initial Nursing Assessment and Certification of Terminal Illness for documentation to support beneficiary qualification for the Medicare Hospice Benefit.
- Assign the appropriate terminal illness diagnosis and coding for comorbidities in accordance with ICD-10 Guidelines for Hospice.
- Review Monthly Visits Notes comparing services documented to the Plan of Care established by the IDG/IDT team and perform pre-billing audit.
- Review all recertification information for documentation to support continued hospice service into subsequent benefit periods.
Admission
Review of appropriate documentation from referring physician, initial assessment, and CTI.
Auditor will:
- Review the Referral Documentation, Notice of Election, Initial Nursing Assessment, and the Certification of Terminal Illness for sufficient clinical documentation to support beneficiary qualification for the Medicare Hospice Benefit
- Review the Comprehensive Assessment and Plan of Care for meeting CoP’s and development of a valid plan of treatment to meet CMS requirements.
- Quarterly consultative review of agency/clinician treated findings with recommendations for improvement.
Coding
- List Item
Review & Billing
- List Item
Recertifications
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