HOPE Guidance Manual v1.02, Item A2115

Timepoint(s) Item Completed

Discharge (DC)

Item-Specific Instructions

Complete only if A0250 = 9, Discharge

• R

eview the clinical record, including the discharge plan and discharge order, for documentation of

discharge reason.

• Code the response that corresponds to the patient’s reason for discharge.

• Code 1, Expired, if the patient has died.

• Code 2, Revoked, if the beneficiary has chosen to revoke

their hospice election.

o Revoked is also used for non-Medicare/Medicaid patients

who reject the hospice plan of care.

• Code 3, No longer terminally ill, for a discharge when

the hospice determines the beneficiary is no longer terminally

ill.

• Code 4, Moved out of hospice service area, for a

discharge when the beneficiary moves out of the hospice’s

service area.

• Code 5, Transferred to another hospice, for a

discharge when the beneficiary transfers to another hospice.

• Code 6, Discharged for cause, for a discharge for cause.

DEFINITION

DISCHARGE FOR CAUSE

A discharge made because the

patient’s (or other persons in the

patient’s home) behavior is

disruptive, abusive, or

uncooperative to the extent that

delivery of care to the patient or

the ability of the hospice to

operate effectively is seriously

impaired.