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Hospice201 IAHHCConferenceRoom August1112,2015 6320GRuckerRoad Indianapolis,IN46220 9:00am4:00pmEastern This session is an in depth review of the rules and regulations impacting hospices. This includes
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How to fill out 08-11 Hospice 201:

01
Start by providing your personal information. This may include your full name, date of birth, address, and contact details. Make sure all the information is accurate and up to date.
02
Next, fill in the patient information section. Include the patient's full name, date of birth, address, and contact details. If you are filling out the form on behalf of someone else, ensure you have their consent to share their information.
03
The form will also ask for Medicare information. Provide the patient's Medicare number, as well as any other applicable insurance information. This ensures that the hospice provider can properly bill for services rendered.
04
In the "Physician Certification" section, you will need to provide details about the physician certifying the need for hospice care. This includes their name, address, and National Provider Identifier (NPI) number.
05
The "Attending Physician Information" section requires the name and contact details of the physician who will be overseeing the patient's care while in hospice. This may be the same as the certifying physician or a different doctor.
06
In the "Patient Represented By" section, indicate who is signing the form on behalf of the patient. If the patient is capable of signing, they may do so themselves. Otherwise, a legal representative or family member may sign as the patient's representative.
07
Lastly, review the form for accuracy and completeness. Ensure all sections are filled out correctly, and make any necessary corrections before submitting the form.

Who needs 08-11 Hospice 201?

01
Individuals who require hospice care: The 08-11 Hospice 201 form is typically required for individuals who are seeking hospice services. This form helps gather essential information about the patient and their medical situation to determine their eligibility for hospice care.
02
Family members or legal representatives: If you are filling out the form on behalf of a loved one or as a legal representative, you will need to provide the necessary information and sign the form as the patient's representative. It is crucial to have the patient's consent and ensure you have the authority to act on their behalf.
03
Healthcare providers: Hospice providers and medical professionals involved in the patient's care may also need to complete and submit the 08-11 Hospice 201 form. This helps ensure accurate documentation and proper coordination of care for the patient.
Remember, it is important to consult the specific guidelines and instructions provided with the form to ensure accurate and complete completion.
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08-11 hospice 201 is a form used by hospice facilities to report data and information to the Centers for Medicare & Medicaid Services (CMS).
All hospice facilities that are certified by Medicare are required to file 08-11 hospice 201.
Hospice facilities can fill out 08-11 hospice 201 electronically or manually following the instructions provided by CMS.
The purpose of 08-11 hospice 201 is to collect data on hospice services provided to Medicare beneficiaries for quality monitoring and payment purposes.
Information reported on 08-11 hospice 201 includes patient demographics, length of stay, diagnosis, services provided, and outcomes.
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