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Palliative and Hospice Care: Challenges and Opportunities

Healthcare Unfiltered

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The Different Criteria for Hospice Benefits

Every disease that we bring a patient on for hospice has different criteria that you need to meet. Most commercial payers will cover hospice benefit if the physician states that they meet eligibility. We use a eCOG scale for functional status to function, guides, prognosis and so does disease symptoms, symptom burden. With Alzheimer's, for example, is they need to meet a fast criteria of seven C. That means that cognitively they've reached a point where the cognition is affecting their movement, pain movement, that they are not able to walk anymore.

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