SariRN

Just wondering how things are going at Walden? I started in December 2018 so far so good. Few bumps but decent learning.

I am a CANDO graduate. I completed five years of CANDO and have been off CANDO a year. I lead a happy and very healthy life full of gratitude. I am happy to help I any way.

Continuous care is billed and reimbursed in 15 minute increments which is one reason many hospice's require every 15 minutes charting. Charting must be sufficient enough to support meeting the continuous care guidelines set by CMC. A patient who is actively dying does not meet the criteria for continuous care unless there are intensive symptom management issues at hand. Similar to GIP it is essential that all documentation reflect the level of care requested and delivered. There are times our hospice does "continuous care" and can only bill for routine because it is the right thing to do but they do not meet the stiff criteria. In my rural community there is no inpatient hospice to fall back on so we have to do what is best for the patient and family regardless of cost or reimbursement. As an executive director it can be a real challenge but we sleep well at night.