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Old 09-15-2013, 07:03 PM
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Default Hospice charges $800.00 for a pain patch??

I will post the link below. Here is what a nurse said about the title: Is this true?

Thanks!!

I'm a nurse so I will weigh in here- Medicare does pay for pain patches. Medicaid will but the rules vary by state. Another thing, hospice means you relinquish your Medicare and the hospice give you what you need out of what they get from Medicare for you. I would take it up with the hospice first, then call the Medicare Fraud Prevention hotline and ask them the question. It may be legitimate but either way they can steer you in the right direction. Another thing, Medicare pays a set amount no matter what the charges are so any amount billed by a doc or hospital will never matter if you have Medicare. They can only bill you what Medicare tells them they can. Medicare Fraud Hotline (on back of your Medicare card)- call them.


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Old 09-16-2013, 04:28 AM
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It depends on the hospice formulary to what their particular organization will cover.

The patient will elect their Medicare Hospice Benefit, we pay for pain patches if the patient has a true allergy to Morphine etc as we use oral medications first and foremost.

Fentanyl Patches are expensive so we always ensure they have tried all oral first before going to either this or infusions. But as I mentioned they must have a true allergy to Morphine, Dilaudid, Oxycodone.

We also do not use Oxycontin due to the cost UNLESS they have a true allergy to Morphine or Dilaudid.

Now being a For Profit Hospice the patient may well have to pay for these themselves.

If it is a medication that the patient wishes to take but is not covered we fill out an ABN form which shows the patient in black and white that they will be responsible for said medication.

I hope this is what you were after Karen.
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Old 09-16-2013, 05:11 AM
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Thanks Sabby!!

I wanted the facts from someone who actually works in hospice, not a 'news reporter' who know next to nothing about it!!
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Old 09-16-2013, 06:06 PM
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Quote:
Originally Posted by kwagner_51 View Post
Thanks Sabby!!

I wanted the facts from someone who actually works in hospice, not a 'news reporter' who know next to nothing about it!!

No worries sweet pea.
kwagner_51 likes this.
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