hospice
What is the format for the physician state license number?
"A1234" letter followed by four numbers
How long do you have to bill for Hospice? Medicare? Medicaid?
1 year for all
What are the hospice billing periods?
1st - 15th and 16-end of month
Required by Medicaid. Form which notifies Medicare of Hospice election, admission, discharge, etc. Status updates.
3071
If a patient is MEDICARE ONLY and will never need MEDICAID in the future, what two forms are not needed?
3071 & 3074
What are the two forms required by Medicaid?
3071 & 3074
What are the forms required by medicaid?
3071 and 3074
What documents need to be sent to nursing homes if patient is in nursing home asap? why?
3071 and 3074. When the state audits nursing homes they ask for these documents.
Medicaid required CTI.
3074
On the ___, the ______ date needs to be within _____ of the CTI date.
3074, verbal order date, 2 days.
The field status report should always be run before the...?
Accumulated NOE report.
What is the report called to generate NOE's?
Accumulated NOE's
When should the accumulated NOE's report be run?
After the Field Status Report
Why is it important that patient not have a field mode status?
Anything in field mode will not generate on NOE.
document stating that a physician has deemed that a patient is terminally ill and has 6 months or less to live.
CTI
What is Failure to Thrive?
Clinical tests which backup the CTI.
What type of hospice care is never used?
Continuous
Clinical tests which backup the CTI.
Failure to Thrive
What is the report called which ensures that patients have host mode status?
Field Status Report
What two types of hospice care are rarely used?
GIP and Respite
TOB 81-D
If NOE is incorrect, resubmissions need to be this TOB.
Hospice folders- Light Purple
Medicaid Routine
NF are called
Medicaid beds
Hospice- What is the difference between medicare and medicaid pay?
Medicaid pays just as well and medicare.
What is a 3074?
Medicaid required CTI.
what two signatures does the CTI need before you can bill?
Medical director and patient MD
Hospice folders- Manilla
Medicare
What kind of Medicare is Hospice?
Medicare Part A
SNF are called
Medicare beds
TOB 81-A
NOE
What does NOE stand for?
Notice of election
What is the NOE for?
Notifies medicare that patient has elected Hospice services. For everything related to patient's Dx, we cover it.
Hospice folders- Green
Private
What is a 3071?
Required by Medicaid. Form which notifies Medicare of Hospice election, admission, discharge, etc. Status updates.
Hospice folders- Dark Purple
Room and board. (paying rent, bed and breakfast)
What time of hospice care is most used?
Routine
Where do you go to submit medicaid forms?
TMHP--> "Log into LTC" at top right
TOB 81-C
Transfer
3071: When do you need to enter a Code?
When there is a cancellation
CTI stands for
certification of terminal illness
Types of Hospice care:
continuous, routine, respite, GIP (general inpatient)
What is a CTI?
document stating that a physician has deemed that a patient is terminally ill and has 6 months or less to live.
Without 3071, Medicaid will not pay
room and board
