Hospice and Dialysis

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Can a pt receiving dialysis be on the Hospice Medicare Benefit? I know that the primary diagnosis would reflect yes or no. Example: If the pt had breast cancer but also on dialysis, could you put her on HMB for the breast cancer and still have her receive dialysis treatment?

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Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

I'm not sure.

I know that my grandma was receiving hospice after she refused dialysis (kidney failure, CHF), but she didn't have cancer though.

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Specializes in Hemodialysis, Home Health.
Can a pt receiving dialysis be on the Hospice Medicare Benefit? I know that the primary diagnosis would reflect yes or no. Example: If the pt had breast cancer but also on dialysis, could you put her on HMB for the breast cancer and still have her receive dialysis treatment?

Yes. We currently have a patient on dialysis who is receiving hospice care. He has extensive CA as well. As long as they are dx'd to have less than 6 mos. to live, they can receive hospice care, even if on dialysis. He is also a medicare recipient.

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Specializes in ER, NICU, NSY and some other stuff.

Yes. With the example that you give they sure can. The Hospice benefit is paid on the ca dx. The dialysis is another dx altogether. We recently had a pt for brain ca and they were on home peritoneal dialysis, which they even

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as long as the primary dx isn't chronic/acute renal failure, then they'd be eligible for the hospice benefit (along w/the other criteria already mentioned).

leslie

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To be truly legit, the dialysis should be for kidney failure unrelated to the cancer as well.

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Thanks... the yes's have it. Thanks again.

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as long as the primary dx isn't chronic/acute renal failure, then they'd be eligible for the hospice benefit (along w/the other criteria already mentioned).

leslie

ditto

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