Discharge, Transfer and Discharge for Cause
Sets out when the Agency may discharge a patient alive (moving away, transfer, no longer terminally ill, or for cause after the required steps), the physician discharge order, discharge planning, the Medicare advance notice of termination, the Ohio Medicaid written statement of reasons and portal entry, discharge summaries, notices to Medicare, and the reasons for which the Agency never discharges.
About this policy
- Policy number
- OH-HSP-DC-01
- Version
- 1.0
- Main rule
- 42 CFR §418.26
- Library
- Ohio hospice · 60 policies
- Category
- Hospice care
- Sections
- 19
In short
- We discharge a living patient only for a permitted reason and only with a written physician order.
- Never discharge because of cost, inability to pay, use of needed services or a complaint.
- Before a discharge for cause, warn the patient, try hard to fix the problem and document everything.
- Give the patient a written statement of the reasons and plan their care after discharge.
- Send the discharge summary to the attending physician or new provider, and tell billing the same day.
What's inside
19 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 §418.26; ORC 3712.06(F); OAC 3701-19-20(B))
- 5. Permitted Reasons for Discharge
- 6. Steps Before Any Live Discharge
- 7. Discharge Because the Patient Is No Longer Terminally Ill
- 8. Discharge for Cause
- 9. Moving Out of the Service Area and Facilities Without Access
- 10. Discharge Summary, Notices and Records
- 11. Effect of Discharge
- 12. Responsibilities
- 13. Records and Compliance Monitoring
- 14. Staff Training
- 15. References
- 16. Related Policies and Forms
- 17. Approval
- 18. Revision History
An inspector may ask
- Show me the physician discharge order and the attending physician's input for this live discharge.
- For this discharge for cause, what did you do before discharging, and where is it documented?
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