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Revocation, Change of Designated Hospice and Change of Attending Physician

Protects the patient’s right to leave hospice at any time and states the Georgia ban on requiring or demanding that a patient request discharge or sign a request as a condition of admission or continued care. It sets out the Medicare revocation statement and its effects, the notice of termination/revocation within 5 calendar days, change of designated hospice once per election period, and change of attending physician.

Preview: full text with a package
About this policy
Policy number
GA-HSP-ELC-03
Version
1.0
Main rule
42 CFR §418.28
Library
Georgia hospice · 60 policies
Category
Hospice care
Sections
16

In short

  • Leaving hospice is always the patient’s own choice. Never ask, suggest or require anyone to revoke or to request discharge.
  • Never have a patient sign a revocation or discharge request as a condition of admission or care.
  • If a patient wants to stop hospice, tell the RN coordinator and social worker the same day.
  • The revocation statement (Form GA-HSP-ELC-03-A) is signed by the patient or representative, with an effective date no earlier than the signing date.
  • Billing files the notice of termination/revocation within 5 calendar days. Send the discharge summary to the attending physician.

What's inside

16 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (Ga. Comp. R. & Regs. 111-8-37-.14(6)(a)-(b); 42 CFR §418.28)
  • 5. No Pressure to Revoke or Request Discharge
  • 6. Revocation
  • 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 the revocation statement for this patient. Who suggested revocation, and why?
  • How do you make sure no patient is asked or pressured to revoke or to request discharge, for example before an expensive treatment or hospital stay?

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