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The Admission Process: The Hospice Medicare Election and Addendum

presented by Cathleen Armato, RN, CHC, CHPC

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Disclosure Statement:

Financial—Cathleen Armato is a shareholder with Armato & Associates, LLC, a health care consulting company. Cathleen Armato receives compensation from MedBridge for the production of this course.
Nonfinancial— No relevant nonfinancial relationship exists.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Video Runtime: 20 Minutes; Learning Assessment Time: 15 Minutes

During the admission process, the election statement is frequently viewed by the hospice team as a technical requirement. While it is that, it is also part of the process of making sure the patient and/or the patient's representative is informed and has been given an opportunity to make decisions. These decisions include choosing the hospice and the attending physician and determining when hospice care starts. Medicare is increasingly focused on a patient’s right to be involved in decisions when it comes to their own care. The technical requirements of a hospice election statement are there to protect patients and their representatives and ensure they understand how the benefit works, including what will and will not be covered under their election. Additionally, there are many times in hospice when a patient may not be able to make decisions or sign the election and will have a representative. This course reviews the technical requirements and the decision-making authority of representatives.

Meet Your Instructor

Cathleen Armato, RN, CHC, CHPC

Cat Armato is an experienced executive with 18 years in the home care and hospice industry. She has served in various roles during that time, including VP of operations and chief compliance officer for a nationwide provider. In 2012, Cat became a consultant. She has assisted multiple organizations with their compliance and quality efforts, from…

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Chapters & Learning Objectives

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1. The Hospice Medicare Election and Addendum

This course reviews the technical requirements for a valid hospice Notice of Election and addendum, and the intent of these documents. The consequences of the election will be reviewed, as well as legal terms related to authorized signers.

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Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
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Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
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There is a lot of confusion regarding the hospice discharge and revocation. When is it a discharge, and when is it a revocation? What forms are needed for each? What conditions are required for each? This course reviews the regulations governing both discharges and revocations, the forms required for each, and the role of the hospice interdisciplinary team member in the process. At the end of this course, team members should feel confident in providing education to patients and families and in completing all of the appropriate documentation.

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