I'm a RN Case Manager with a Texas Hospice organization. We have our IDG meetings every week. One week will be for the South side and the next week will be for the NOrth side. All of these meetings occur on Tuesdays excluding holiday days then we choose another day. My concern is that we are made by upper management to fill out and sign off on our IDG doccumentation on Monday by 1400, which is a day before our actual IDG meeting. I feel very uncomfortable signing off a day ahead of the actual meetin. I have others tell me i'm right by questioning the signature date being before actual meeting, and when I question my ED and immediate supervisor all they say is " it is required and expected to be done the day before IDG so the MD can sign off on them on Tuesday during the meeting. Am I worrying for nothing or should I be concerned? I can't find any doccumentation stating it's okay to sign the day before. Please advise.
Mar 9, '14
by klone, MSN, RN
My husband is an ED of a hospice - I will ask him. I'm guessing, though, that that might constitute Medicare fraud.
Do you work for a large corporate hospice that starts with an H, by chance?
Okay, from the horse's mouth: An actual IDG meeting is not a Medicare requirement. What is required is that all members of the team update and sign off on the patient's care plan at least every 15 days. So as long as that is being done, Medicare doesn't care when the careplan is signed off on, in relation to the meeting itself.
So, not Medicare fraud, but I'm unclear as to why they would require the signoff the day before. (edited to add: sorry, I went back and reread your OP and I see that it's to facilitate the medical director, so s/he has time during IDG to sign them all).
With regard to "what happens if the patient dies overnight" - I would not sign it with the incorrect date. I would sign it on Monday with Monday's date - you are saying that as of Monday, this is the patient's care plan.
Last edit by klone on Mar 9, '14