Simione™ Healthcare Consultants


Simione Webinar Series: Reality Check: Do My Notes Prove that My Patient is Terminally Ill?

April 5th - 3:00 PM to 4:00 PM

Presenter: Ruth K. V. Recchia, RN, CHPN, Senior Manager, Simione Healthcare Consultants

Hospice care is "not medically necessary." "Six-month terminal prognosis is not supported." These phrases are two ways that CMS says the same thing, representing the number one reason why CMS denies payment to hospice programs. The responsibility of care for hospice patients and their families lies with the clinical members of the team. This same group of people holds the largest responsibility for ensuring proper payment of claims. Documentation must demonstrate progression of disease through qualifying and quantifying information that will stand up to the scrutiny of government reviews. This session is designed for all members of the hospice interdisciplinary group: nurses, physicians, social workers, hospice aides, chaplains, volunteers and therapists. Clinical managers, educators and compliance auditors will also gain much information to share with their teams. Many examples of improved visit notes will be given along with tips for documenting coordination of care and goals of care discussions.