I was looking for a few opinions in determining med coverage. Per CMS, hospice is responsible to cover meds that are related to the primary diagnosis. While researching this a little more I came across a few sources with case studies. 1) Primary dx Lung Cancer, med lisinopril, they considered that related and covered by hospice 2) Primary dx COPD, med bumex, they considered that related and covered by hospice Do you agree or disagree with those meds being related to the primary dx and why? 0 Share this post Link to post Share on other sites
Jan 8 by BFalls0687 14 Posts; 883 Profile Views I did find this. It seems helpful. http://www.hospiscript.com/docs/default-source/other-documents/med-coverage-nhpco-medication-flow-chart-version-1-0.pdf?sfvrsn=2&_cldee=a2tvbmN6YWxAaG9zcGlzY3JpcHQuY29t&recipientid=contact-24f80374b045e511abb0005056b513d7-b8ee230a2f0b47c5ace6e00012b1fdc0&esid=3238b458-ab6d-e811-9ca9-005056b513d7&_cldee=a2ltLmtvbmN6YWxAb3B0dW0uY29t&recipientid=contact-f2e129b218d7e411abb0005056b513d7-e69f3830ad0348dc81b94b98c53652a2&esid=65257104-d47e-e811-9ca9-005056b513d7 0 Share this post Link to post Share on other sites
Jan 11 by pmabraham, BSN, RN pmabraham has 3 years experience as a BSN, RN and specializes in Hospice, Palliative Care. 2 Articles; 2,530 Posts; 46,118 Profile Views The hard part of accurately answering the questions is the RELATED diagnosis matter just as much as the primary diagnosis. OP, please disclose the related secondary diagnosis for a complete answer. 0 Share this post Link to post Share on other sites
