Discharging pts?

Posted

Just a quick question...when a pt no longer is appropriate for hospice, do you wait until the end of the cert period, or do you discharge them before??? Thanks!

Whispera, MSN, RN

Specializes in psych, addictions, hospice, education. 3,458 Posts

It can be either.

aimeee, BSN, RN

932 Posts

Patients should be discharged as soon as it is determined that they are no longer appropriate for hospice and a plan for supporting their needs can be put together. If you wait until the end of a cert period you might not be reimbursed for that care if you are audited. Be careful how you chart during the transitional period. Once you state in your charting that the patient is no longer appropriate, you will be vulnerable for reimbursement should the chart be audited. Better to state that their status is being closely evaluated while weaning them off services to see if their status declines.

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