Hospice in ECF Handout - Home Care Information Network

HOSPICE EDUCATION NETWORKProviding Hospice in Extended Care Facilities by Carla BravemanPurchasing Services Non Core Services can be purchased fromNH – specify in contract Must not be customarily included in R&B Therapy services, Medications, Oxygen, etc Must be at fair market value Hospice must authorize in advance and bein the Plan of CareCopyright © 2007Financial Responsibilities Must be clearly stated Complex -depends on the paymentsources Who pays for what- room and board,medications, supplies, equipment,therapy services, etcCopyright © 2007Dually eligible beneficiaries Medicare and Medicaid 36+ states have Medicaid Hospice Benefit Room/Board is paid by Medicaid Hospice is paid by Medicare Pass through billing for most states Not more than 95%-100% of what theywould have been paid (Office of InspectorGeneral)Copyright © 2007HEN Copyright 2007www.hospiceonline.com6