Levels of Care
Services that Montgomery Hospice provides are prescribed by the Medicare Hospice Benefit .
Hospice at Home cares for patients wherever they reside, including extended care facilities.
Casey House is what Medicare defines as an acute care hospice inpatient unit. It is our area's only medical facility designed and built to care for hospice patients.
Hospice at Home
| Routine Care | |
|---|---|
| For: | Patients whose pain and symptoms can be managed in their own residence |
| Time Limit: | As long as there is medical necessity as outlined by Federal rule |
| Billed: | By Montgomery Hospice to insurer as routine home care |
| Comment: | Comprises most Montgomery Hospice care Is delivered in a nursing home, assisted living facility or a private residence |
| Continuous Care | |
|---|---|
| For: | Patients in crisis requiring frequent professional care interventions wherever they reside |
| Time Limit: | Until the crisis is resolved |
| Billed: | By Montgomery Hospice to insurer as continuous care |
| Comment: | Minimum 8 hours of care, at least 50% of which an RN or LPN provides, in the 24 hours beginning and ending at midnight Is delivered in a nursing home, assisted living facility or a private residence Needs to be pre-approved by commercial insurers Must follow Medicare guidelines Subject to after-care review by Medicare |
Casey House
| Acute Care | |
|---|---|
| For: | Patients with pain and/or symptoms that cannot be managed safely and therapeutically in any other setting |
| Time Limit: | Until the crisis is resolved |
| Billed: | To insurer as general (a.k.a. acute) inpatient care |
| Comment: | Is a short-term solution to a crisis Is regulated by strict standards set by commercial insurers and by Medicare |
| Residential Care | |
|---|---|
| For: | Patients who want to make Casey House their home indefinitely |
| Time Limit: | Until another level of care is more appropriate or until death occurs |
| Billed: | To insurer for clinical care under routine home care benefit To patient for room & board |
| Comment: | Residential room & board fees are payable 1 week in advance |