Levels of Hospice Care
There are four levels of hospice care. All four levels are approved at the time of authorization of services. The hospice provider determines which level of care is appropriate for the patient. TriWest does not require notification when the patient moves to a different level of hospice care:
• Routine home care
• Continuous home care
• Inpatient respite care (up to five days per month)
* General hospice inpatient care
Revocation/Transfer to Another Hospice
The beneficiary may choose to revoke or end hospice services at any time. They also may decide to re-elect hospice at any time, but will forfeit the remaining days for the benefit period they are in at the time they revoke. Basic TRICARE coverage will be in effect following the revocation. The hospice must submit the patient’s signed and dated
revocation form to TriWest by fax at 1-866-269-5892 (TRICARE Prime and TRICARE Standard beneficiaries) or 1-866-312-5831 (TPR, TRR, and TRS beneficiaries). The beneficiary may choose to transfer to another hospice, up to one transfer during each election period. The beneficiary will stay in the current benefit period following
the transfer. The hospice must submit the signed and dated transfer form, as well as the name of the hospice to which the care is transferred, to TriWest by fax at 1-866-269-5892 (TRICARE Prime and TRICARE Standard beneficiaries) or 1-866-312-5831 (TPR, TRR, and TRS beneficiaries).
Medicare hospice benefit. How to identify and handling the denial. Usage of correct CPT code and Modifiers. Using correct form,ICD code
Monday, May 21, 2012
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