Once a beneficiary’s symptoms are stabilized, or pain is managed, he/she must return to a routine level of care. The beneficiary may remain in a facility due to safety, but Medicare will not pay for GIP unless the beneficiary is in need of this level of care, and it is clearly documented in the medical record.
The following tools are offered to assist you as you appropriately serve your patients through the GIP level of care.
GIP Resource Guide for Utilization, Coordination & Documentation
The GIP Level Of Care Resource Guide is useful in any GIP setting to guide the Interdisciplinary Group’s critical thinking process in assessment, goal identification, establishment of an effective plan of care, and communication of that plan to all involved in the care. Additionally, the guide provides suggestions for content and wording of documentation to support the GIP level of care. Since the tool addresses the Medicare CoPs around coordination of care as well as documentation, this guide can be used in all areas of a hospice agency, not just for the provision of GIP care. Use of this tool does not guarantee payment.Click here to access the GIP Resource Guide.
NOTE: This tool is not endorsed by any professional agency, governmental agency, or Medicare Administrative Contractor.
Hospice GIP Audit Tool (From Palmetto GBA)
To download the Hospice GIP Audit Tool, click here.