For Health Professionals

When is Hospice Care Right for Your Patient?

When the patient has a limited prognosis. If your patient has a prognosis of a life limiting illness with diminishing results from radio-therapy or chemotherapy.

When the family's needs demand extra time from you. The lessening of curative therapy often calls for an increase in care for the terminally ill patient and their family. The hospice care team is on call 24 hours a day, 365 days a year providing patient and family care.
 

The Admission Process

  1. The physician provides the patient's name, address, age, present location, diagnosis, and estimated prognosis and suggest the family have an informational meeting with the hospice staff. 
  2. Then the Accord Hospice Admissions Registered Nurse (RN) will visit the patient and family to assess immediate needs, recommend an initial plan of care and obtain the patient's informed consent. 
  3. Hospice care can begin as soon as a workable plan is agreed on by patient and hospice.

What is the Role of the Physician?

The cooperation of the physician in the hospice process is a vital factor in the success of Accord Hospice. The patient's relationship with his/her physician remains the same under Accord Hospice care.
 

The physician approves any patient evaluation and admission to Accord Hospice. The physician provides the necessary information about the patient and works out a proper care plan with the Accord Hospice Patient Care Coordinator.
 

The physician gives palliative orders. The physician gives orders for the patient's pain and symptom management in cooperation with Accord Hospice.
 

The physician evaluates hospice effectiveness for each patient. The physician remains an active part of the hospice process by receiving health reports about the patient from hospice and directing the patient's plan of care.
 

The physician bills each patient separately from Accord Hospice for their care. The physician remains in control of his patient's care and is part of the hospice program but continues to bill the patient separately for the care he or she provides.

Reimbursement for Physicians

The attending physician is the physician designated by the patient to have the most significant role in his or her care. The attending physician can continue to bill Medicare Part B for professional services - home, inpatient, or nursing home visits with a modifier code, this is independent of the hospice benefit. Medications, laboratory tests, and other non-physician services required for the management of the terminal illness are paid for by the hospice program through the hospice benefit.
 

Attending physicians can bill for care plan oversight for hospice patients. Payment is available for one physician per month for oversight supervision involving 30 or more minutes of the physician's time per month.
 

Payment under CPT code 99375 encompasses significantly complex medical management requiring the integration of new information into the plan of care or adjustments in medical therapy furnished by the physician. It identifies the coordination of care among practitioners as care plan oversight services. This excludes telephone calls to patients and family members (Federal Register, 1994).
 

Care plan oversight includes the following physician activities:  

  • development / revision of care plans
  • review of subsequent reports of patient status and related laboratory studies
  • coordination and communication (including telephone calls) with other health care professional involved in the patient's care (excluding telephone calls to patients and family members)
  • adjustment and integration of medical treatments

What Hospice Services Are Available?

Accord Has Most Comprehensive Hospice Services Offering, Including:
 For specific details contact Accord Hospice

  • Low patient nurse ratio
  • 24 Hour Continuous Care 
  • Hospice RN On-Call AT ALL TIMES - 24 Hours, 7 Days Per Week
  • Prescriptions & Medical Supplies–we can use your preferred pharmacy & vendors 
  • 13 month Bereavement Program 
  • An Interdisciplinary Professional Team–Physician, Nurse Case Manager, CNA, Chaplain or Spiritual Advisor & Social Worker 
  • Pain Management 
  • Massage Therapy 
  • Chiropractic Care 
  • Neurology 
  • Acupuncture 

Additional Patient Advantages:

  • CNA visits minimum of twice a week 
  • RN visits minimum of twice a week 
  • Music, Art & Pet Therapies 
  • Physical, Occupational & Speech Therapies 
  • Family Counseling 
  • Interdisciplinary Team Meetings Onsite – A convenient choice for residents and their families who wish to participate in the Hospice Care Plan 
  • Medical Director on staff

 


  
   
     (847) 780 - 4594

Fax (847) 574-0440
                        
                info@accordhospice.com         

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