Wiki inpt hosp for hospice

[luvbuix]

we are a moderate size hem/onc practice that sees inpt as well as outpt. my question is: i know when the decision is made to switch the pt to hospice that is a high risk decision making- what about susbsequent hospital visits after the decision has been made? i've been putting those as 99233 because the level of risk is the same.

 

[csperoni]

I would not count the decision again unless the provider is re-evaluating that decision. For example, decision not to resuscitate or to deescalate care because of poor prognosis is high risk. But unless the provider is making the decision again at the subsequent visit, I would not count it again.

 

[luvbuix]

I would not count the decision again unless the provider is re-evaluating that decision. For example, decision not to resuscitate or to deescalate care because of poor prognosis is high risk. But unless the provider is making the decision again at the subsequent visit, I would not count it again.

so- if he says "continue on hospice" is that making the decision again?