What does GIP in hospice care mean?
Hospice general inpatient care
SUMMARY. Hospice general inpatient care (GIP) is for pain control or symptom management provided in an inpatient facility that cannot be managed in other settings. The care is intended to be short-term and is the second most expensive level of hospice care.
Can you go into a hospice for respite?
Or you might go into the hospice so that your family or carers can have a break from looking after you for a short while. This is called respite care. You can contact a hospice directly yourself, but the team will usually also ask for a referral from your doctor or nurse.
What is the difference between hospice and respite care?
As a hospice patient, you will have one primary person that takes care of you every day. During a period of respite care, you will be cared for in a Medicare-approved setting such as a hospice facility, hospital, or nursing home.
Does hospice pay for respite care?
End-of-life patients receiving hospice services are eligible for “respite care,” defined and covered by the Medicare hospice benefit. Hospice respite care allows a family caregiver to get a break from caregiving duties while the patient is cared for in a Medicare-certified inpatient facility.
What qualifies a patient for inpatient hospice?
A variety of hard-to-manage symptoms may indicate that a patient is eligible for inpatient hospice care: Sudden deterioration that requires intensive nursing intervention. Uncontrolled pain. Wound care that requires complex and/or frequent dressing changes that cannot be managed in the patient’s residence.
How often can a hospice patient have respite?
You can stay up to 5 days each time you get respite care. You can get respite care more than once, but only on an occasional basis.
Is the hospice GIP level of care properly utilized?
The data shows that some hospices only billed very little or no GIP care during a specified time period while other hospices billed significantly more GIP days of care than their peers during the same time period which, appropriately raises the question: Is the hospice GIP level of care being properly utilized?
How does a hospice bill for general inpatient care?
In addition to the above, CMS states “ For a hospice to provide and bill for the general inpatient level of care, the patient must require an intensity of care directed towards pain control and symptom management that cannot be managed in any other setting .” Because GIP is billed on a per diem basis, each day of care must support the need for GIP.
Is the CMS concerned about hospice over utilization?
CMS continues to be concerned about hospice over utilization and hospice underutilization of the general inpatient (GIP) level of care. Are hospices providing access to all four levels of hospice care (routine home care, general inpatient care, respite care and continuous home care)?
What kind of care is required for hospice?
General Inpatient (GIP) Care is one of the four levels of hospice care required to be available under the Medicare Hospice Benefit (MHB). GIP for symptom management is a valuable tool that allows hospice staff to provide clinical services to a degree that cannot typically be provided in a patient’s home.
