Hospice & End Of Life Care

CMS requires US Medicare Part A, a Medicare-certified hospice, physician certification of a prognosis of six months or less if the illness follows its normal course, and an election statement waiving Medicare payments for the terminal illness and related conditions. An enquiry does not establish those requirements.

CMS describes US Medicare routine home hospice in a home, skilled nursing facility or assisted-living facility when the patient is not in crisis. Inpatient care is a separate level. Suggested practice: name the offered setting before interpreting a contact form as a residential admission.

US Medicare says room and board are generally not covered for hospice at home or in a nursing home or hospice inpatient facility. It covers the facility stay when the hospice team determines and arranges needed short-term inpatient or respite care. Keep that exception with any coverage statement.

Medicare's US guidance says hospice can continue after six months if the hospice medical director or hospice doctor recertifies terminal illness after the required face-to-face meeting. The eligibility prognosis and actual service duration are different. Do not present six months as a guaranteed length or automatic cutoff.

No publishable AOV benchmark is available.

The exact category cohort does not support a publishable AOV aggregate. Parent and sibling benchmarks are not substituted.

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