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(1) Identification of the particular hospice and of the attending physician that will provide care to the individual. The individual or representative must acknowledge that the identified attending physician was his or her choice.
The Hospice Comprehensive Assessment Measure is a single measure that represents the percentage of patient stays in which patients received all seven care processes for which they are eligible. The seven care processes are captured by the seven Hospice Item Set (HIS) QMs.
The members of this interdisciplinary team include a physician, nurse, hospice aide, social worker, chaplain, volunteer and bereavement specialist.
Hospice care is given in benefit periods. You can get hospice care for two 90-day benefit periods followed by an unlimited number of 60-day benefit periods. A benefit period starts the day you begin to get hospice care, and it ends when your 90-day or 60-day benefit period ends.
The interdisciplinary group must include, but is not limited to, individuals who are qualified and competent to practice in the following professional roles: (i) A doctor of medicine or osteopathy (who is an employee or under contract with the hospice). (ii) A registered nurse. (iii) A social worker.
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The interdisciplinary group must include, but is not limited to, individuals who are qualified and competent to practice in the following professional roles: (i) A doctor of medicine or osteopathy (who is an employee or under contract with the hospice). (ii) A registered nurse. (iii) A social worker.
Patient has been diagnosed with a life-limiting condition with a prognosis of six months or less if their disease runs its normal course. Frequent hospitalizations in the past six months.
As part of the narrative, the narrative shall include a statement directly above the physician signature attesting that by signing, the physician confirms that he/she composed the narrative based on his/her review of the patient's medical record or, if applicable, his or her examination of the patient.
The hospice interdisciplinary group, in consultation with the individual's attending physician (if any), must complete the comprehensive assessment no later than 5 calendar days after the election of hospice care in accordance with § 418.24.
One component of the hospice certification of terminal illness (CTI) requirements is the narrative summary, a brief narrative designed to explain clinical findings that support a life expectancy of six months or less which is composed by the hospice physician.

certificate of terminal illness form