CHA Hospice Operations & Management 2

Question 1

Under the Medicare Conditions of Participation, how often must the interdisciplinary group (IDG) review and update each patient's plan of care at minimum?

Accepted Answer

Every 15 days

Answer

42 CFR 418.56(d) requires IDG review and revision of the plan of care at least every 15 calendar days.

Question 2

A hospice administrator is calculating volunteer compliance. Volunteer hours must equal at least what percentage of total patient care hours provided by paid employees and contract staff?

Accepted Answer

5%

Answer

42 CFR 418.78(e) sets the volunteer minimum at 5% of total patient care hours of all paid hospice employees and contract staff.

Question 3

How often must a registered nurse make an on-site supervisory visit to a patient's home when hospice aide services are provided?

Accepted Answer

At least every 14 days

Answer

42 CFR 418.76(h) requires an RN supervisory visit no less frequently than every 14 days to assess aide services.

Question 4

Aggregate inpatient days (general inpatient plus inpatient respite) for Medicare hospice patients may not exceed what share of total patient care days in a cap year?

Accepted Answer

20%

Answer

The 80/20 inpatient cap limits inpatient days to 20% of total Medicare hospice patient days, with excess paid at the routine home care rate.

Question 5

Within what timeframe must a hospice file the Notice of Election (NOE) with its Medicare Administrative Contractor?

Accepted Answer

Within 5 calendar days after the election date

Answer

The NOE must be filed and accepted within 5 calendar days after the hospice election date, or the hospice forfeits payment for the late days.

CHA - Certified Hospice Administrator Practice Test

CHA - Certified Hospice Administrator Practice Test

CHA Hospice Operations & Management 2