For patients that reside in a non-skilled facility (nursing home), do we report the visits performed by the hospice staff and the visits performed by the facility staff?
The CR states “All visits to provide care related to the palliation and management of the terminal illness or related condition, whether provided by hospice employees or provided under arrangement, must be reported”. Therefore, if a patient resides in a nursing home under routine home care, and the home is not providing any hospice services to the patient through arrangement with the hospice, the services provided by the nursing home are not reported. However, if the beneficiary is placed in a nursing home for hospice care (example: respite care), these services would be provided under arrangement, and thus, must be included on the hospice’s claim. NOTE: CMS revised CR 5567 on April 29, 2008, to temporarily suspend reporting of visit data from non-hospice staff in contracted facilities under GIP (revenue code 656) and respite (revenue code 655).
Related Questions
- For patients who are in a hospital or SNF receiving GIP or respite care, do we report the visits performed by the hospice staff and the visits performed by the facility staff?
- Is it really necessary to have hospice staff come in to supplement the care provided by the assisted living facility or nursing home staff?
- Are patients and family caregivers told how many visits they can expect from hospice staff and how they are informed about changing needs?
