Thursday, October 24, 2019

Quick Taste of an Upcoming Post - What's News in Corporate Hospice?


I'm not kidding. I wish I was kidding.

With bonus Bible quotes!

Ezekiel 25:17

  • Pulp Fiction: "The path of the righteous man is beset on all sides by the inequities of the selfish and the tyranny of evil men. Blessed is he who, in the name of charity and good will, shepherds the weak through the valley of the darkness. For he is truly his brother's keeper and the finder of lost children. And I will strike down upon thee with great vengeance and furious anger those who attempt to poison and destroy my brothers. And you will know I am the Lord when I lay my vengeance upon you."
  • King James Version (25:15-17): "Thus saith the Lord GOD; Because the Philistines have dealt by revenge, and have taken vengeance with a despiteful heart, to destroy it for the old hatred; Therefore thus saith the Lord GOD; Behold, I will stretch out mine hand upon the Philistines, and I will cut off the Cherethims, and destroy the remnant of the sea coast. And I will execute great vengeance upon them with furious rebukes; and they shall know that I am the LORD, when I shall lay my vengeance upon them."
  • Young's Literal Translation (25:15-17): "Thus said the Lord Jehovah: Because of the doings of the Philistines in vengeance, And they take vengeance with despite in soul, To destroy — the enmity age-during! Therefore, thus said the Lord Jehovah: Lo, I am stretching out My hand against the Philistines, And I have cut off the Cherethim, And destroyed the remnant of the haven of the sea, And done upon them great vengeance with furious reproofs, And they have known that I [am] Jehovah, In My giving out My vengeance on them!"
Plenty more BibleHub 

Saturday, October 12, 2019

Death Nurse Special Blog Post Number 150! Weekend Interlude - Peak Bowie

a foreshadowing

I think Life on Mars? is Bowie's most amazing song in a long list of them, and I hope you enjoy this one, accompanied by longtime band member Mike Garson on piano. David Bowie is helping me grieve.



===

More about Life on Mars?

Here's a look back at other posts featuring David Bowie


Also, too: 100,000!

Wednesday, October 2, 2019

A blog post about hospice eligibility that doesn't include the words criteria or guidelines


This looks like the place

Note the absence of "guidelines" and "criteria"

Here are the Medicare regulations. The words “criteria” and “guidelines” don’t appear here either.

§ 418.22 Certification of terminal illness
(DeathNurse abridged version)

The individual’s prognosis is for a life expectancy of 6 months or less if the illness runs its normal course, based on the physician’s or medical director’s clinical judgment regarding the individual’s illness. Clinical information and documentation that support the medical prognosis must accompany certification, and also include a brief narrative explanation of the clinical findings that supports a life expectancy of 6 months or less. The narrative must reflect the patient’s individual clinical circumstances and cannot contain check boxes or standard language used for all patients.

§ 418.22 Certification of terminal illness 
(excerpt)

(b)Content of certification. Certification will be based on the physician's or medical director's clinical judgment regarding the normal course of the individual's illness. The certification must conform to the following requirements:

(1) The certification must specify that the individual's prognosis is for a life expectancy of 6 months or less if the terminal illness runs its normal course.

(2) Clinical information and other documentation that support the medical prognosis must accompany the certification and must be filed in the medical record with the written certification as set forth in paragraph (d)(2) of this section. Initially, the clinical information may be provided verbally, and must be documented in the medical record and included as part of the hospice's eligibility assessment.

(3) The physician must include a brief narrative explanation of the clinical findings that supports a life expectancy of 6 months or less as part of the certification and recertification forms, or as an addendum to the certification and recertification forms.

(i) If the narrative is part of the certification or recertification form, then the narrative must be located immediately prior to the physician's signature.

(ii) If the narrative exists as an addendum to the certification or recertification form, in addition to the physician's signature on the certification or recertification form, the physician must also sign immediately following the narrative in the addendum.

(iii) The narrative shall include a statement directly above the physician signature attesting that by signing, the physician confirms that he/she composed the narrative based on his/her review of the patient's medical record or, if applicable, his/her examination of the patient.

(iv) The narrative must reflect the patient's individual clinical circumstances and cannot contain check boxes or standard language used for all patients.

(v) The narrative associated with the 3rd benefit period recertification and every subsequent recertification must include an explanation of why the clinical findings of the face-to-face encounter support a life expectancy of 6 months or less.


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