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Hospice Item Set (HIS) Program: Discharge

presented by Beth Noyce, RN, BSJMC, HCS-C

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Disclosure Statement:

Financial: Beth Noyce receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Beth Noyce has no competing non-financial interests or relationships with regard to the content presented in this course.

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

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 24 Minutes, Learning Assessments: 26 Minutes

As vital as quality reporting is to a hospice agency's bottom line, some agencies continue to submit HIS data late or not at all. This penalizes the agency 2% of its revenue, beginning two fiscal years ahead. Poor or absent reporting also compromises Hospice Compare scores viewable by referral sources as well as by consumers seeking the right hospice for them or their loved ones. In addition, HIS-Discharge opens agencies to scrutiny when documentation is incorrect and contradicts data on hospice claims. This course instructs on accurate HIS-Discharge data capture, document completion, submission to CMS, and acceptance of the data by CMS's QIES ASAP system. Hospice clinical managers, administrators, administrative assistants, and registered nurses will benefit from this course, as will anyone who contributes to data gathering for the HIS-Discharge. This is the second course in a two-part series; the recommended prerequisite is Hospice Item Set (HIS) Program: Admission.

Meet Your Instructor

Beth Noyce, RN, BSJMC, HCS-C

Beth Noyce, RN, BSJMC, HCS-C, is a home health and hospice consultant, mentor, educator, and regulatory Jedi who helps agencies know when they are at risk. She draws on her varied leadership and patient care hospice and home health experience gained since 1997. Job description? She helps keep people out of trouble. Beth was executive…

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Chapters & Learning Objectives

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1. What Is HIS-Discharge and Why Report It?

Chapter 1 builds on the Hospice Item Set (HIS) Program: Admission course to discuss the importance of Hospice Quality Reporting Program’s HIS-Discharge to an agency’s overall success. Learn how the HIS-Discharge differs from the HIS-Admission, when an HIS-Discharge is required and how to complete it, what happens once it is complete, and the dangers of not completing it promptly.

2. Entering and Extracting HIS-Discharge Information

Learn to capture accurate HIS-Discharge data in Chapter 2. Review HIS conventions as they pertain to completing demographic information, documenting accurately what happened and when while avoiding contradiction with the hospice claim, and extracting clinical process data from the patient record.

3. Don’t Fall Short

Chapter 3 describes ways that incorrect responses may cause problems for the agency and how to avoid such responses. Discover the rules for timely, correct HIS submission and acceptance, the effects of errors on Hospice Compare and on payment, and the importance of submitting corrections.

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