US · guidance
CMS Pub. 100-02, ch. 9, § 80.1
Documentation
If the beneficiary’s physician initiates the request for the evaluation and counseling
service, appropriate documentation guidelines should be followed, including the
determination of the terminal illness. Since this provision is not a prerequisite of or part
of the hospice benefit, certification of the terminal illness is not required. The request or
referral should be in writing, and the hospice medical director or physician employee
would be expected to provide a written note on the patient’s medical chart as well as
maintaining a written record of this service.
If the beneficiary initiates the request for the service, the hospice agency should maintain
a written record of the service and communication with the beneficiary’s physician, with
the beneficiary’s permission, would occur, to the extent necessary to ensure continuity of
care.
History
(Rev. 188, Issued: 05-01-14; Effective: 08-04-14; Implementation: 08-04-14)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
d00cfd282aa5aba7cd09f434b43e7a013e63b245dd5ee519ea07bc3e2cf47736
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