General inpatient (GIP) care is one of the four levels of hospice care that the federal Medicare hospice regulations require a hospice to provide as a condition of their Medicare certification. The federal hospice guidance states that GIP may be required in order to manage acute pain and other symptoms that cannot be managed in any other setting, and is intended to be a short term intervention. Careful assessment and documentation of pain and other symptoms must be made by the interdisciplinary group (IDG) to determine GIP eligibility and is part of the patient’s plan of care. Hospices also face government scrutiny regarding proper use of GIP. This Webinar will provide guidance on identifying appropriate GIP situations, assessment and documentation requirements, and tips for compliance to avoid scrutiny if your records are audited.

Learning Outcomes

      • Describe the Medicare CoPs regarding GIP level of care
      • Identify clinical situations that do and do not quality for GIP level of care
      • Discuss assessment and documentation regarding GIP level of care


Edward W Martin, MD, MPH

Dr. Martin is the Chief Medical Officer at Hope Hospice and Palliative Care Rhode Island. He heads the Palliative Care Consultation Service at Rhode Island Hospital and is the director of the Hospice and Palliative Medicine Fellowship. He is a Professor of Medicine at the Brown Alpert School of Medicine and the Section Chief of Palliative Medicine where he has been teaching about hospice and end-of-life care for the past 30 years. He also has served on the NHPCO Regulatory Committee.

Melissa “Missy” Ring, MSN, RN

Missy is the Director of Regulatory and Compliance at the National Hospice and Palliative Care Organization. With more than 15 years of hospice palliative care experience, Missy has worked in hospital, community based, national, and integrated health systems in both profit and nonprofit organizations. Missy brings vast experience in nursing, regulatory and compliance, quality and standards, operations, administration, and patient safety to her work at NHPCO. She has a Master of Science in Nursing – Leadership from Jefferson College of Health Sciences, and a Bachelor of Arts – Concentration on Business Administration from Mary Baldwin College. She is currently working on her Doctor of Nursing Practice degree at James Madison University.

CE/CME Information

Nurse: NHPCO is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

NHPCO designates this live activity for a maximum of 1 contact hours. Nurses should claim only the contact hours commensurate with the extent of their participation in the activity. Accredited status by ANCC refers only to continuing nursing education and does not imply endorsement of any commercial product discussed in conjunction with this activity.

Physician: The National Hospice and Palliative Care Organization is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

NHPCO designates this live activity for a maximum of 1 AMA PRA Category 1 credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Certificate of Participation for Non-physician Healthcare Professionals: For participants* whose disciplines are other than nurse and physician, you may request a Certificate of Participation for Non-physician Healthcare Professionals to submit to your accrediting bodies/licensing boards for continuing education credit. This certificate will indicate the Webinar was certified for AMA PRA Category 1 Credit(s) TM. It is the responsibility of participants to submit the certificates to their accrediting bodies/licensing boards for approval. Unfortunately, NHPCO cannot guarantee its acceptance. To receive this certificate, you must complete all CE/CME requirements and indicate your desire to receive this certificate on the evaluation form.

*including bereavement professionals, finance professionals, physician assistants, social workers, spiritual care givers, etc.