At our facility we have the family sign a medicare denial sheet saying
they are waiving their medicare A benefit for hospice.  
If a resident is on Medicare A and switches to hospice then we do the
same thing.  We have the family sign a Medicare denial notice.
Heidi

Heidi Ebertowski,R.N.
MDS Care Coordinator
Valley Memorial Homes
Grand Forks, ND
(701)787-7937   fax (701)787-7901
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-----Original Message-----
From: Carol O'Brien [mailto:[EMAIL PROTECTED] 
Sent: Monday, December 08, 2003 11:36 AM
To: [EMAIL PROTECTED]
Subject: form for not using medicare benefit?


We have a family that wants to bring their family member in as hospice 
instead of as Med A.  We suggested using Medicare on our palliative care

unit and then switching to hospice and they are not interested.  The 
hospital diagnosis is the same as the hospice diagnosis therefore he is
not 
eligible for both at the same time.  Is there a form that needs to be
signed 
waiving the medicare benefit?  Same question with a resident who wants
to 
change to hospice in the middle of their Med A stay while they are still

skillable.

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/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
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