Revocation, Change of Designated Hospice and Change of Attending Physician
Sets how a patient or representative revokes the hospice election, changes to another hospice once in a benefit period, or changes attending physician; what each signed statement must say; that only the patient or representative can revoke; and what the Agency then does for continuity of care, records and Medicare notices.
About this policy
- Policy number
- DC-HSP-ELC-03
- Version
- 1.0
- Main rule
- 42 CFR §418.28
- Library
- Washington, DC hospice · 60 policies
- Category
- Hospice care
- Sections
- 17
In short
- Only the patient or representative can revoke hospice care. Never suggest it to avoid costs.
- Revocation needs a signed statement with an effective date no earlier than the date it is made.
- A patient may change hospices once in each benefit period; this is not a revocation.
- To change attending physician, the patient signs a statement naming the new physician and the date.
- Tell the registered nurse coordinator the same day if a patient talks about leaving hospice.
What's inside
17 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(a))
- 5. When a Patient Talks About Leaving Hospice
- 6. Revoking the Election
- 7. Effects of Revocation
- 8. Changing to Another Hospice
- 9. Changing the Attending Physician
- 10. Responsibilities
- 11. Records and Compliance Monitoring
- 12. Staff Training
- 13. References
- 14. Related Policies and Forms
- 15. Approval
- 16. 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 staff never encourage a patient to revoke?
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