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| Medical Professionals: Physicians >Admission and Billing > Admission Criteria > Benefits to the Physician > Patient Eligibility | Education | ||
Patient Eligibility |
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1. |
Terminal
Prognosis |
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n |
Primary
and hospice physician must both certify terminal prognosis of six
months or less |
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n |
Patient
should be exhibiting a progressive decline |
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n |
Consider
the whole picture of the patient’s condition, not just the
diagnosis |
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| 2. |
Desire
hospice
|
|
n |
Patient/family
fully understand terminal prognosis |
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n |
Patient/family
fully understand their options and choose to seek palliative care
rather than aggressive therapies |
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n |
Patient/family
fully understand Hospice philosophy |
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3. |
Insurance/Coverage |
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n |
Medicare
patient must be eligible for Part A and not be utilizing Medicare
for other therapies (skilled) |
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n |
Medicaid
- same as Medicare |
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n |
Private/HMO
- most have Hospice coverage |
|
n |
Financial
Assistance - Hospice & HomeCare By The Sea, a not-for-profit
agency, provides hospice |
|
n |
care
regardless of age, race, or diagnosis and with generous financial
assistance to the needy in our community. |
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4. |
Settings
of Service |
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| n | In
the Patient’s Home |
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| n | Adult
Living Facilities and Skilled Nursing Facilities |
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| n | Hospice
By The Sea Inpatient Care Center or Other Contracted Acute Facilities |
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5. |
How To
Initiate Service |
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n |
Call
Hospice & HomeCare By The Sea Direct Referral Line at (800)
392-3188 |
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n |
Hospice
& HomeCare By The Sea will assess patient within 24 hours to
determine appropriateness and level of care |
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