Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of pa...
HCPCS code
Name of the Procedure:
Common name(s): Physician supervision of hospice care Technical/medical term: HCPCS Code G0182
Summary
This procedure involves a physician overseeing the care of a patient who is not present but is under Medicare-approved hospice. It includes tasks like developing and revising care plans, and reviewing reports from other healthcare providers. It is a multidisciplinary approach to manage complex care needs.
Purpose
The procedure addresses the comprehensive healthcare management of terminally ill patients in hospice care. The goal is to ensure that the patient receives coordinated, compassionate, and efficient care from a multidisciplinary team, thereby enhancing the quality of life in their remaining days.
Indications
- Terminal illness with a life expectancy of six months or less, as certified by a physician.
- Complex care needs requiring coordination among multiple healthcare providers.
- Need for regular updates and adjustments to the care plan based on the patient’s evolving needs.
Preparation
Not applicable as the patient is not present during this supervision.
Procedure Description
- Review of Patient History: The physician reviews the patient's medical history and prior care plans.
- Coordination with Multidisciplinary Team: The physician collaborates with other healthcare providers, including nurses, social workers, and therapists.
- Care Plan Development: The physician develops or revises the care plan, taking into account the patient’s current condition and needs.
- Review of Reports: The physician reviews reports submitted by the multidisciplinary team to ensure the care plan is being followed and is effective.
- Documentation: All actions, plans, and communications are thoroughly documented.
Tools/Equipment:
- Medical records and reports
- Telecommunication systems for team coordination
- Electronic health records (EHR) systems
Anesthesia/Sedation:
- Not applicable.
Duration
The duration varies, typically ranging from 30 minutes to several hours depending on the complexity of the patient's needs.
Setting
The procedure can be performed in various settings such as:
- Physician’s office
- Remote locations via telecommunication
- Hospital or hospice administrative centers
Personnel
- Physician
- Nursing staff
- Social workers
- Therapists
- Administrative support for documentation
Risks and Complications
- Miscommunication among team members
- Delays in updates or revisions to the care plan
- Inadequate coordination leading to gaps in patient care
Benefits
- Enhanced coordination of care
- Improved quality of life for the patient
- Tailored care plans that adjust to patient needs
- Efficient use of healthcare resources
Recovery
Not applicable as the patient is not undergoing a physical procedure.
Alternatives
Other treatment options:
- Direct patient-physician consultations
- Regular in-person hospice reviews by a physician
Pros and Cons of Alternatives:
- Direct consultations may provide immediate feedback but lack the comprehensive multidisciplinary approach.
- In-person reviews provide physical assessments but may be less frequent and can be resource-intensive.
Patient Experience
As the patient is not present, the patient does not experience the procedure directly. However, the outcome leads to better-managed care, potential adjustments in their treatment plan, and improved well-being achieved through enhanced professional coordination.