I've been a hospice nurse for 15 years, what a gift to do this service. My question is whether or not it is an absolute CMS requirement to fill out a worksheet on life expectancy for a patient who has been on 2 cert. periods, has had a MD face to face within the last 2 weeks certifying eligibility and now is imminently dying. The documentation picture has been "painted" on this last recertification regarding the stage of imminent death and in the documentation the Karnofsky, ADL score and Descriptive score have been documented. The supervisor is stating that the "Life expectancy worksheet" a 5 page paper document be filled out on every patient every admit and recertification regardless of circumstances. For example, even if a new admit isn't expected to live 24 hours, this is still enforced as a "requirement for medicare" I have read the COPS, cannot find this and have the understanding these "worksheets" are for assistance in helping to determine eligibility. So is this documentation really a CMS/COP requirement? I'd love not to have to do pointless documentation when there is so much we could improve upon that would actually matter!
I did some research, looked in a few places, but found nothing stating that this is an actual requirement. It might be a requirement for whoever you work for so they can be reimbursed, as the form is indeed designed to help determine eligibility. You might end up being stuck filling the forms out regardless if that's what they want you to do, unfortunately. We all do a lot of "silly, and unnecessary" things on a daily basis in the workplace. Your workplace is vitally important, and all unnecessary paperwork, etc. that takes you away from patients should be avoided at all costs- IMHO. Take care,
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.