BAD BAD Hospice Moves! – Reminders
- NEVER choose the proportional method of Medicare CAP calculation when you have been grandfathered with a stream-lined method. This change will cost you
- MILLIONS and MILLIONS in value as well as the fact that you can’t effectively manage patient LOS mix anymore. A truly dumb, dumb move no matter if you are or have been in CAP trouble…
- Don’t game the SIA! If a visit qualifies for the SIA,certainly bill for it, but don’t create an elaborate system to really pump up visits! Quality Hospice prepares caregivers. If caregivers are “anxiety ridden” or even excessively needy, normally it is due to poor caregiver teaching practices. Don’t disempower caregivers and therefore encourage more SIA visits. Don’t refer to a Hospice IPU as a Hospice “House” or “Residence.” If you don’t want to be in competition with Nursing Homes and ALFs, it is wise to outlaw such references.