Medical
Hospice Eligibility Checklist
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Hospice Eligibility Checklist

1
Verify the patient's diagnosis
2
Evaluate the patient's overall health condition
3
Assess the patient's life expectancy
4
Confirm the patient's willingness for hospice care
5
Consultation with the treating physician
6
Approval: Treating Physician Consultation
7
Obtain written consent from the patient or representative
8
Prepare the initial hospice care plan
9
Review the planned care with the interdisciplinary team
10
Approval: Hospice Care Plan
11
Communicate the care plan to the patient and family
12
Arrange for the delivery of any necessary equipment or medications
13
Schedule the first visit from the hospice care team
14
Document all the process in the patient's medical record
15
Submit the necessary paperwork to the appropriate party for billing
16
Approval: Billing Submission
17
Ensure all data and documentation are HIPAA compliant
18
Provide the patient and family with emergency contact information
19
Schedule follow-up visits and routine check-ups
20
Continuous monitoring of the patient's condition and adjust care plan as necessary