Search and read for: abraham p. r 2001 documentation and reimbursement for home care and hospice program: Health Information management association.
Put together a 5 slides PPT presenting summarizing your findings.
Reimbursement: Levels
of Care
• Routine home care: Routine care in the place
of residence
• Respite care: Interval of rest for primary caregiver provided to patients in an approved facility (no more than 5 days at a time)
• General or acute inpatient care: For pain control or symptom management
• Continuous care: Predominantly nursing care, provided for a minimum of 8 hours in a 24-hour period in the patient’s place of residence
• Per diem payments based on levels of
care include all services related to
hospice diagnosis
– Exception: Physician can bill separately
– Reimbursement stops at death, but bereavement services continue for up to
1 year
– Hospice services at a contracted inpatient facility also included in per diem
– Hospice benefit periods: Two 90-day periods, followed by 60-day periods