Medicare Hospice Benefit 

Presenting Faculty
Bethany Cox Snider, MD HMDC FACP FAAHPM

Session Overview
This session focuses on prognostication, documentation, regulations, and operational considerations that guide hospice eligibility, care delivery, and transitions across settings, supporting high‑quality, compliant hospice practice.

What Learners Will Gain
Learners will self‑report the ability to apply, analyze, and evaluate hospice‑specific clinical, regulatory, and administrative considerations when making appropriate diagnostic and clinical decisions that have important consequences for patients and families experiencing serious and complex illness.

Hospice Eligibility and Prognostication
• Prognostication and hospice eligibility determination
• Clinical and regulatory considerations for hospice enrollment

Hospice Documentation and Care Planning
• Hospice plan of care documentation
• Hospice‑specific documentation requirements, including:
– Certification of Terminal Illness (CTI)
– Face‑to‑Face (FTF) visits
– Interdisciplinary Group (IDG) documentation

Transitions and Settings of Care
• Transitions of care across healthcare settings
• Coordination of care within and beyond hospice services

Hospice Regulations and Administration
• Hospice regulations, including eligibility criteria, business models, and levels of care
• Medicare Hospice Benefit (MHB) requirements
• Concurrent care considerations

Roles and Responsibilities
• Role of the hospice medical director
• Role of the hospice team physician within the interdisciplinary team

Hospice Business Environment
• Hospice formularies
• Contracts and vendor relationships
• Policies affecting hospice operations and care delivery

Clinical Focus Areas
• Aligning regulatory requirements with patient‑centered care
• Supporting compliant, high‑quality hospice practice
• Integrating clinical judgment, documentation, and operational knowledge