Course Code: REL-PAC-0-HCGICHC
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2028
Learning Objectives:
Recognize the clinical need for the hospice general inpatient and continuous home care levels of care.
Recall the criteria that support payment for the higher levels of hospice care.
Identify successful documentation strategies to support the higher levels of care.
Outline:
Section 1: General Inpatient Care
Hospice Levels of Care
Routine Home Care
Inpatient Respite Care
General Inpatient Care
Continuous Home Care
Access to Higher Levels of Care
When Is GIP Appropriate?
When GIP Is Not Appropriate
Where Can GIP Be Provided?
Requirements for GIP Settings
What Happens During a GIP Stay?
Day 1: Crisis Recognition, Admission, and Start of Discharge Planning
Each Day During the GIP Stay
Practical Tips for Documentation Clarity and Audit Readiness
When GIP Ends
GIP Claim Scrutiny and Denials
Areas of Scrutiny
Common Audit Risks
Practices to Navigate Scrutiny
Medicare Inpatient Cap
What Is the Inpatient Cap?
What Happens If a Hospice Stays Within the Cap?
What Happens If a Hospice Exceeds the Cap?
Knowledge Check
Key Takeaways
Section 2: Continuous Home Care
When Is Continuous Home Care Appropriate?
Appropriate Use of CHC
Inappropriate Use of CHC
Where Can CHC Be Provided?
CHC Staffing and Billing Rules
Billing Requirements
Identify Billable Continuous Home Care
Pain Crisis
Seizures and Vomiting
Dyspnea
What Happens During CHC?
Stage 1: Crisis Identified and CHC Initiated
Stage 2: CHC Hours Delivered
Stage 3: Transition to Lower Level of Care
How to Document CHC
What to Document
When to Document
Common Documentation Deficiencies
Scrutiny and Claim Denials
Why CHC Is Under Scrutiny
Documentation Review Tip
Knowledge Check
Key Takeaways
Section 3: Conclusion
Course Summary
GIP Versus CHC Quick Comparison
Course Contributor
Resources
Resource Document
References
Instructor: Susan Heinzerling, BSN, RN, CHPN
Susan Heinzerling earned a Bachelor of Science in biology and a Bachelor of Science in nursing from the University of North Carolina at Chapel Hill as well as a Master of Life Sciences in physiology from North Carolina State University. She became a doctoral candidate in immunology at the University of South Alabama. Her research experiences in the biomedical sciences led to an interest in evidence-based practices. Ms. Heinzerling began her nursing career as a medical/surgical nurse. Patients in acute care with multiple chronic conditions and repeated hospitalizations inspired her practice of hospice nursing. She has worked as a hospice admissions nurse and a hospice RN case manager in both a large urban setting and a rural community.
Target Audience:
The target audience for this course is: Advanced Practice Nurses; Nursing Personnel; Social Workers; in the following settings: Home Care, Hospice.
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All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.