Certified Revenue Cycle Representative (CRCR) Practice Exam

What is the initial hospice benefit duration for patients?

1. 90 days

2. Two 90-day periods

3. One year

4. Unlimited duration

The correct answer is: Two 90-day periods

The initial hospice benefit duration for patients under Medicare is structured to allow for a focused and supportive approach to end-of-life care. The correct duration is two 90-day periods, which means that upon the initial certification for hospice services, patients can receive care and support for the first 90 days, and then it can be recertified for an additional 90 days if criteria continue to be met. This two-period structure is designed to ensure that hospice care is provided based on ongoing assessments of the patient's condition and needs, emphasizing the importance of both continuity of care and the monitoring of the patient's eligibility for hospice services as their condition evolves. During these two periods, the care team can reassess the patient's condition regularly and make decisions about extending care or transitioning based on the patient’s prognosis. In contrast, the other options mentioned do not reflect the specific guidelines set forth by Medicare for hospice care. For instance, an initial benefit of 90 days does not account for the necessary reevaluation and potential for extension that the two-period structure allows. Therefore, understanding the importance of the two 90-day periods is crucial for managing hospice benefits effectively within the revenue cycle.