When hospitals classify some or all of their stay as “outpatient,” these patients will often not qualify for Medicare SNF coverage and may forego care.
Hospice care is holistic care for the dying. Medicare coverage of hospice care is available for beneficiaries who have been certified as terminally ill, for services that are “reasonable and necessary for the palliation or management of the terminal illness as well as related conditions.”
The Center’s comments focused on proposed quality measures and the forthcoming Hospice Compare website.
There are numerous ways to participate at no cost, and the goal is simple: "To inspire, educate & empower the public & providers about the importance of advance care planning."
“there is no working appeals process for Medicare hospice claims.”
Hospice care is compassionate end-of-life care that includes medical and supportive services intended to provide comfort to individuals who are terminally ill.
What is needed is for a hospice patient to be able to get an expedited (within 24 hours) review of a hospice refusal to provide necessary care.
As of October 1, 2014, the hospice election statement will indicate that the identified attending physician has been chosen by the patient or the authorized representative.
As of July 18, 2014, Medicare beneficiaries who elect the hospice benefit should encounter no coverage change for medications billed to their Medicare Part D Sponsor unless the medication is related to pain management, anti-nausea, laxatives, or anti-anxiety.
The Guidance requires Part D plans to initially deny payment for all prescribed medications for hospice patients. Hospice patients will then have to appeal the denials in order to get Part D payment for their medications.
Though the goal of the Medicare Care Choices Model – increased access to hospice care – is a good one, its design is flawed.
Medications that should be covered by the Medicare Hospice Benefit are sometimes paid for by the insurance companies that administer Medicare Part D plans. To prevent this from happening, effective May 1, 2014, all prescribed medications for hospice patients billed to Medicare Part D will initially be denied coverage.