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Hospice Election Statement Changes & Addendum Effective October 2020... Are you ready? Webinar: August 27, 2020 | 11:00am12:00pm This webinar will review the detail changes to the Hospice Election

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How to fill out hospice election statement changes

01

Obtain the hospice election statement changes form from the hospice provider.

02

Fill in the patient's name, date of birth, and other identifying information.

03

Indicate the date the hospice election is being modified and the reason for the change.

04

Have the attending physician sign and date the form.

05

Submit the completed form to the hospice provider for processing.

Who needs hospice election statement changes?

01

Patients who have already elected hospice care but need to make changes to their election statement.

02

Families or caregivers of patients who are unable to complete the form on their own.

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What is hospice election statement changes?

Hospice election statement changes refer to the modifications made to the initial election statement submitted by a patient or the patient's representative when opting for hospice care. This may involve changes in the designated hospice provider or adjustments in the patient's status regarding the hospice benefit.

Who is required to file hospice election statement changes?

The patient or their legal representative is required to file hospice election statement changes when there is a need to update any information related to the hospice service being received.

How to fill out hospice election statement changes?

To fill out hospice election statement changes, the patient or their representative should complete the designated form provided by the hospice agency, ensuring that all required fields are accurately filled with current information, and submit it to the appropriate authority.

What is the purpose of hospice election statement changes?

The purpose of hospice election statement changes is to ensure that the patient's hospice care preferences are accurately reflected and updated, facilitating proper care management and adherence to Medicare or insurance policies.

What information must be reported on hospice election statement changes?

The information that must be reported includes the patient's name, Medicare number, details of the current and new hospice provider, reasons for the changes, and any adjustments needed in the patient's care plan.

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