Revocation, Change of Designated Hospice and Change of Attending Physician
Sets out how a patient revokes the hospice election, changes to another hospice once in a benefit period, or changes attending physician; what each signed statement must contain; what the Agency sends to the receiving hospice and the attending physician; the notice it files with Medicare; and the rule that the Agency never asks or pressures a patient to revoke.
About this policy
- Policy number
- CA-HSP-ELC-03
- Version
- 1.0
- Main rule
- 42 CFR §418.28
- Library
- California hospice · 60 policies
- Category
- Hospice care
- Sections
- 16
In short
- A patient may stop hospice care (revoke) at any time, but only the patient or representative can decide that.
- Never ask, suggest or pressure a patient to revoke.
- Revocation and changes of hospice or doctor need a signed form. The effective date cannot be earlier than the date signed.
- Tell the patient's nurse the same day if a patient says they want to stop hospice or change hospices.
- When a patient moves to another hospice, send the consent, certifications and plan of care.
What's inside
16 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (42 CFR §§418.28, 418.30, 418.24(i))
- 5. Revocation
- 6. Re-election
- 7. Change of Designated Hospice
- 8. Change of Attending Physician
- 9. Responsibilities
- 10. Records and Compliance Monitoring
- 11. Staff Training
- 12. References
- 13. Related Policies and Forms
- 14. Approval
- 15. Revision History
An inspector may ask
- Show me a revocation statement. Is the effective date on or after the date it was signed?
- How do you make sure a revocation was the patient's own decision?
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