Posted Saturday, August 14, 2021
Hospice providers are seeing an increase in audits for general in-patient stays that are longer than seven days. CMS requires hospice providers to offer routine home care, general inpatient care, inpatient respite care and continuous home care.
“General inpatient care is allowed when the patient’s medical condition warrants a short-term inpatient stay for pain control or acute or chronic symptom management that cannot feasibly be provided in other settings,” CMS indicated in the email. “For a hospice to provide and bill for the general inpatient level of care, the patient must require an intensity of care directed towards pain control and symptom management that cannot be managed in any other setting.”
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