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Debility, adult failure to thrive, and any other diagnosis in the Symptoms, Signs, and Ill-defined Conditions category may not be used as a primary diagnosis for hospice.
Stage 7 is broken down into smaller stages as laid out in the table above: Limited ability to speak (typically 1-5 words a day,) loss of intelligible vocabulary, inability to self-ambulate (walk), inability to sit up independently, inability to smile, and inability to hold up head independently.
Hospice Eligibility and FAST Score Generally, a FAST score of 7A or higher is considered indicative of end-stage dementia, indicating that the individuals cognitive and functional impairments have reached a point where specialized end-of-life care is necessary.
Historically a FAST (Resiberg Functional Assessment Staging) stage of 7C has been the admission point for patients with a primary diagnosis of hospice. Lets look at stages 6 and 7 the last two stages of the FAST scale to put stage 7C into context.
The hospice interdisciplinary team (IDT) has 5 calendar days from the effective date of the hospice election statement to complete the comprehensive assessment. CMS does not dictate how the comprehensive assessment is completed or what forms a hospice provider utilizes to document the comprehensive assessment.
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