It shouldn't have happened this way.... - page 6

Okay, so I work part time with hospice. I like it. It's a nice break from feeling like I'm torturing souls their last days on earth up in ICU because their family of freeloaders are all living off... Read More

  1. by   smalltownLVN
    I have to admit I am thankful I know nothing about the billing aspect of hospice except that our patients do not pay for our services out of pocket. However, our hospice has our aides provide care because they have been trained to be our eyes and ears. They have more experience with issues that arise with hospice pts than most CNAs. They report daily if ANY issue comes up that needs to be checked out. They have smaller caseloads than LTC facility CNAs and are able to spend more time with the pts. Of course anyone can refuse the aide as their right. I'm sure the assis living employees took great care of your mom but not all decisions are based on profit. At least I hope not.
  2. by   tewdles
    10 days of service at $1900 = $190/day

    That $190/day pays for nursing, social work, volunteer coordinator, chaplain, HHA, medical director, medications related to hospice diagnosis, comfort and incontinence supplies, durable medical equipment, any lab tests or procedures, and all supplies needed by staff to safely complete their jobs.

    You may say that you did not require all of those services, however, those services are required by law to be available at the drop of a hat and to be informed and participative in the ongoing care of the patient and family. The hospice must employ and pay them regardless of whether or not you take advantage of them.

    Sounds like a bargain to me compared to what non-hospice patients frequently cost their insurers at end of life.

    Hospices typically lose money on patients who are on service for fewer than 90 days.
  3. by   tewdles
    By the way...a hospice may bill what they want, the hospice per diem payment is not determined by what they bill.