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Ensuring clarity in a contract with a managed care company requires that both entities be speaking the same language. Here are some definitions it would be useful to have in your contract:
— physician-directed interdisciplinary case management focused on patient symptom control;
— services by licensed nurses, social workers, chaplains, counselors, nursing assistants, and volunteers;
— family counseling services to family members during the time the patient is receiving hospice care;
— bereavement care and counseling for family members for at least one year following the patient’s death;
— all interventions related to the terminal condition and necessary for the implementation of the patient’s plan of care, such as therapies, medications, and routine medical supplies.
The above definitions represent only a portion of the language that needs to be included in a managed care contract to make it hospice-specific. Other attachments address eligibility, fee schedules, and billing procedures.