Hospice Benefit Period Calculation:
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The Hospice Benefit Period calculation determines Medicare hospice coverage periods based on admission date. Medicare provides an initial 90-day period, followed by a subsequent 90-day period, and then unlimited 60-day periods for hospice care.
The calculator uses the admission date to calculate the end date of the selected benefit period:
Where:
Details: Accurate calculation of hospice benefit periods is crucial for Medicare billing, care planning, and ensuring continuous coverage for patients requiring hospice services.
Tips: Enter the admission date and select the appropriate period type. The calculator will determine the end date of the selected benefit period.
Q1: What is the initial hospice benefit period?
A: The initial period is 90 days of Medicare hospice coverage beginning from the admission date.
Q2: What happens after the initial 90 days?
A: Patients can receive a subsequent 90-day period, followed by unlimited 60-day periods as long as they continue to meet hospice eligibility criteria.
Q3: Are there any limitations on these periods?
A: Each period requires certification that the patient continues to have a life expectancy of 6 months or less if the illness runs its normal course.
Q4: Can patients revoke hospice care?
A: Yes, patients can revoke hospice care at any time and return to traditional Medicare benefits, then later re-elect hospice if needed.
Q5: What services are covered during these periods?
A: Medicare covers all services related to the terminal illness, including nursing care, medical equipment, drugs for symptom control, and bereavement counseling.