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Hospice and End Stage Renal Disease (ESRD)

Medicare Benefit Policy Manual (CMS Pub. 100-02), Ch. 11, §50.6.1 and 50.6.1.4

Medicare patients can receive care under both the ESRD benefit and the hospice benefit. The key is whether or not the services are related to ESRD. If the patient’s terminal condition is not related to ESRD, the patient may receive covered services under both the ESRD benefit and the hospice benefit.

Hospice agencies can provide hospice services to patients who wish to continue dialysis treatment. However, remember that when services are being provided to the beneficiary, that in the physician’s opinion would extend the prognosis past six months, the beneficiary would not be considered eligible to receive services under the Medicare hospice benefit.

Page updated: 07.20.12


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