Session: To Pay or Not to Pay? That is the Question: Making Medication Related Determinations in Hospice (NHPCO's 13th Clinical Team Conference and Pediatric Intensive)

Wednesday, November 7, 2012: 11:15 AM-12:15 PM

Primary Presenter:

Terri Maxwell, PhD, APRN

Co-Presenter:

Christine Simmers, PharmD

Area of Emphasis: Regulatory/ Compliance
Learning Objectives:
1. Describe the impact of payment-related scrutiny when clinicians make inaccurate related determinations
2. Discuss the diagnosis and clinical factors that should be considered when making individualized, patient-specific related determinations for medications in hospice
3. Identify challenges commonly experienced by hospice clinicians when making patient-specific related determinations

The hospice industry is undergoing increasing payment-related scrutiny to ensure that Medicare is not billed separately for services related to a patient's terminal illness and secondary conditions. Decisions regarding which components of care are related to the terminal illness are an important part of care planning and critical to accurate billing. Through a primarily case-based approach, faculty will describe a decision-making process to ensure that medication related determinations are as accurate as possible and clearly documented in the patient's record.

See more of: 60-minute

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