protein calorie malnutrition hospice criteria
Alzheimer's disease and other progressive dementias are life-altering and eventually fatal conditions for which curative therapy is not available. 0000000016 00000 n To capture use of hypocaloric PN dosing. Appropriate concern regarding symptoms. Medicare coverage of hospice depends on a physicians certification that an individuals prognosis is a life expectancy of six months or less if the terminal illness runs its normal course. Please do not use this feature to contact CMS. endstream endobj 647 0 obj <>/Metadata 45 0 R/Pages 44 0 R/StructTreeRoot 47 0 R/Type/Catalog/ViewerPreferences<>>> endobj 648 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>>>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 649 0 obj <> endobj 650 0 obj <> endobj 651 0 obj [/ICCBased 686 0 R] endobj 652 0 obj [/ICCBased 687 0 R] endobj 653 0 obj <> endobj 654 0 obj <> endobj 655 0 obj <> endobj 656 0 obj <>stream Please note that codes (CPT/HCPCS and ICD-10) have moved from LCDs to Billing & Coding Articles. They may be incorporated by specific reference as part (or all) of the indication for recertification. Frequently there is no speech at all - only grunting. No specific number of variables must be met, but fewer of those listed first (more predictive) and more of those listed last (least predictive) would be expected to predict longevity of six months or less. Requires assistance in complicated tasks such as handling finances, planning parties,etc. On the other hand, patients in the terminal stage of their illness who originally qualify for the Medicare hospice benefit but stabilize or improve while receiving hospice care, yet have a reasonable expectation of continued decline for a life expectancy of less than six months, remain eligible for hospice care. Baker D, Chin M, Cinquigrani M, et al. Dependence on assistance for two or more activities of daily living (ADLs): Co-morbidities although not the primary hospice diagnosis, the presence of disease such as the following, the severity of which is likely to contribute to a life expectancy of six months or less, should be considered in determining hospice eligibility.