Hospice and palliative care referrals should weigh a physician's experienced clinical judgement, Medicare regulations, and input from the patient and family. Physicians and admissions coordinators at our local programs are available for consultation.
To elect hospice under Medicare, an individual must be entitled to Medicare Part A and certified as being terminally ill by a physician and have a prognosis of six months or less, if the disease runs its normal course.
Medicare Part A always covers hospice services, even for patients with a Medicare Advantage (Part C) plan. Medicare is testing hospice coverage under Medicare Advantage in a few test markets. Learn about Hospice and Medicare Advantage.
- Eligibility, Election and Duration of Benefits - Code of Federal Regulations
- Hospice billing reference guide (PDF, 970 KB)
Hospice Pre-election Evaluation (from CMS) - CMS-R386CP.pdf
Medicare allows and reimburses for a one-time visit by a physician who is either the medical director of or employee of a hospice agency
- New York Heart Association (NYHA) Functional Classification (PDF, 130 KB)
- Palliative Performance Scale (PPS) (PDF, 88 KB)
- Functional Assessment Staging (FAST) Scale or FAST Score (PDF, 90 KB)
- Online BODE index calculator for COPD survival prediction
- FLACC Pain Scale (PDF, 92 KB)
- Flacker mortality scoring tool (PDF, 86 KB)
- Karnofsky Performance Status Scale (KPS) (PDF, 65 KB)
- ESAS - Edmonton Symptom Assessment System (Revised)
- Pain Assessment in Advanced Dementia Scale (PAINAD)
We respect the relationship physicians have with their patients. Our goal is to work together to ensure patients and families receive the right care, at the right time.
- Hospice and end-stage cancer
- Hospice care for heart failure
- Late-stage Alzheimer's disease or other dementia
- Hospice and palliative care for end-stage COPD
- Hospice for Huntington's disease
- Hospice for end-stage MS
- Hospice for amyotrophic lateral sclerosis - ALS
- Hospice for advanced pulmonary fibrosis
- Managing pain
- Better hospice conversations
- Hospice and the Medicare benefit
- Frequently ask questions about hospice and palliative care