Transcription of GIP: Getting It Right - Hospice Fundamentals
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GIP: Getting It Right - Hospice Fundamentals
Fundamentals Subscriber WebinarAugust 2016 2016 Hospice FundamentalsAll rights Reserved1 GIP: Getting It RightAugust 2016 Subscriber WebinarThe Plan for This the regulatory requirements for general inpatient level of patients who are eligible for and can benefit from higher level of principles to support the general inpatient level of care and the connection with care planningLevels of Care (LOC)Medicare pays the Hospice a per diem rate based on one of four levels of care Routine Home Care Inpatient Respite Care general Inpatient Care Continuous Home CareLevel of care determination Made by the Hospice interdisciplinary team (IDG) Reevaluated by the IDG on a regular basis to assure appropriateness Requires a change to the plan of care (POC) Fundamentals Subscriber WebinarAugust 2016 2016 Hospice FundamentalsAll rights Reserved2 Hospices Not Providing All Levels of CareCategory No GIP NoCHC No Respite No GIP or CHCAll Hospices28% 58% 25%19%Bytotal # of Medicare Pts in 2013 Less than 100 57 715441100 199 25 602217200 299 17 581110300 499 85065500 or more 23921 MedPACR eport to the Congress: Medicare Payment Policy March 2015 OIG Interest in GIP March 2016 Report Appropriate, 69%Inappropriate, 31%Inappropriate GIP stays, 201220% did not need GIP at all10% did not need GIP for part of stay1% no evidence of EOB or terminal illness OIG March 2016 Report On GIP Hospices did not meet care
GIP: Getting It Right ... General inpatient care under the hospice benefit is ... Admitting Documentation • What is the clinical need precipitated by the crisis
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