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STATE of GEORGIA HOSPICE RULES VERSION 4 Form
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People also ask
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Which two conditions must be present for a patient to enroll in hospice?
The minimum requirement is a reduced life expectancy of fewer than six months and a terminal illness diagnosis; some will also require the patient to discontinue any curative measures before starting hospice care.
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What is Level 4 hospice care?
Hospice offers four levels of care, as defined by Medicare, to meet the varying needs of patients and their families. The four levels of hospice include routine home care, continuous home care, general inpatient care, and respite care.
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What diagnosis codes cannot be used as primary diagnosis codes on hospice claims?
Primary Diagnosis Codes on the Hospice Claim Debility, adult failure to thrive, and any other diagnosis in the Symptoms, Signs, and Ill-defined Conditions category may not be used as a primary diagnosis for hospice.
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What are 5 criteria for patients to be referred for hospice care?
Hospice eligibility requirements: Diagnosis of a life-limiting condition with a prognosis of six months or less based on the natural course of the disease. Frequent hospitalizations within the past six months. Progressive weight loss, accounting for factors such as edema. Increasing weakness or fatigue.
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What diagnosis is not allowed for hospice?
Debility, adult failure to thrive, and any other diagnosis in the Symptoms, Signs, and Ill-defined Conditions category may not be used as a primary diagnosis for hospice.
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Why would you be denied hospice?
A few causes of denials are widely known. They stem almost entirely from documentation errors or omissions such as a physician's signature on the certification form or other indications that a patient may not be eligible for hospice or for a particular level of care, such as General Inpatient Care.
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What does 40 mean in hospice?
Palliative Performance Scale (PPS) PPS LevelAmbulationSelf-Care 40% Mainly in bed Mainly assistance 30% Totally bedbound Total care 20% Totally bedbound Total care 10% Totally bedbound Total care9 more rows
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What are the requirements for hospice care in Georgia?
Palliative care providers will work with you doctors and care team to help you assess the advantages and disadvantages of specific treatments. To be eligible for hospice care, your physicians expect you to have limited life expectancy of 6 months or less if your disease runs its usual course.
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