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Eligibility and Prognosis: Determination Challenges

November 28, 2017
2:00 – 3:00 pm ET

CE/CME Information

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Webinar Description

Eligibility is one of the prime compliance risk factors for hospice providers today. CMS discussed their concerns about eligibility determination in the FY 2018 Hospice Wage Index final rule. In this time of increased scrutiny for hospice, providers need to ensure they have an appropriate process for determining hospice eligibility and prognosis and documenting it in the clinical record. This Webinar will examine eligibility and prognosis determination and documentation at admission and throughout the patient’s length of stay.

Webinar Objectives

At the completion of this Webinar, participants will be able to:

  • Discuss the compliance focus on hospice eligibility at admission and during hospice service period
  • Review hospice physician and IDT role in eligibility determination and prognostication
  • Discuss IDT requirements for documenting eligibility determination and prognostication in the clinical record


Robert Friedman, MD

Dr. Friedman has been a hospice and palliative medicine (HPM) physician for 22 years. He is also a certified Hospice Medical Director and a Fellow with the AAHPM. He has a wide variety of experience in HPM, including his present role as Chief Medical Officer for Hospice Austin. His activities include administrative, regulatory, clinical, and provider supervisory duties, in addition to providing education to staff and the community. He has hospice and palliative care experience in both inpatient and outpatient settings and has significant regulatory experience, including experience with Probe and MIC Audits. He is a member of the NHPCO Regulatory Committee, a Texas & New Mexico Hospice Organization board member, an item writer for the HMDCB and is actively involved in the Texas MOST Coalition.

Jennifer Kennedy, MA, BSN, RN, CHC

Jennifer is the Senior Director of Regulatory and Quality for the National Hospice & Palliative Care Organization and has been with the organization since 2006. She has 30 years of experience as a leader and nurse in diverse healthcare settings and has worked in hospice and palliative care for the last 18 years. She has a Bachelor’s degree in nursing, a dual master’s degree in health education and case management, and will complete her doctoral degree in health care education and policy in 2017. Jennifer is a certified compliance professional and legal nurse consultant. She speaks at national and state conferences, writes articles for trade journals, contributes to health care publisher materials, develops education and resources for hospice and palliative care providers, and serves on the ANA’s national palliative nursing task group.

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 counselor, 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.

Register today