Revocation, Change of Designated Hospice and Change of Attending Physician
Explains how a patient or representative revokes the hospice election, changes the designated hospice once in a period, or changes the attending physician; what each statement must contain under Medicare and Pennsylvania Medical Assistance rules; the effect of each change; the notices the Agency files; the records sent to the attending physician or receiving provider; and the rule that the Agency never revokes, or encourages revocation, on a patient's behalf.
About this policy
- Policy number
- PA-HSP-ELC-03
- Version
- 1.0
- Main rule
- 42 CFR §418.28
- Library
- Pennsylvania hospice · 60 policies
- Category
- Hospice care
- Sections
- 21
In short
- Only the patient or representative can revoke. Never suggest revoking to avoid the cost of care.
- If a patient wants to stop hospice, tell the RN coordinator the same day. Try to fix any problem first, then use the signed revocation form.
- The revocation date can never be before the date it is signed.
- A patient can change hospice once per benefit period, with a statement given to both hospices. Changing attending physician needs a signed statement too.
- Send the discharge summary to the attending physician or new hospice, and tell the office so the notices are filed on time.
What's inside
21 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
- 5.1 Effect of revocation
- 5.2 Notice of termination/revocation
- 6. If the Patient Cannot or Will Not Sign
- 7. Change of Designated Hospice
- 8. Change of Attending Physician
- 9. Discharge Summary and Records After Revocation or Transfer
- 10. Pennsylvania Medical Assistance
- 11. Learning From Revocations
- 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 a revocation. Who signed it, and is the effective date on or after the date it was signed?
- How do you make sure staff never suggest that a patient revoke because care is expensive?
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