Oh, for Pete's sake..
Do you hear yourself?
you are so silly.. it is like listening to a 12 year old. My 15 year old son could see through your rhetoric..
Cute- but just a waste of our time..
Get back to us when you grow up...
But thanks for the laugh this morning-- I needed it!
I'm cute for quoting to you from the Federal and state codes? I have them in front of me that's how I can give you the page numbers.
And that is not retoric is is a legitmate philisophical question which you sidestepped using one of the oldest debateing techniques. Belittleing the questioner.
This entire argument is academic for us. We are not part of there family. You have only one side of the story, that of the people who want your help to sway procedure in their direction. I do hear myself! I hear myself asking tough questions to both sides to see if they are thinking anything beyond kneejerk emotional reactions. So far nothing.
Sec. 418.22 Certification of terminal illness.
(a) Timing of certification--(1) General rule. The hospice must
obtain written certification of terminal illness for each of the periods
listed in Sec. 418.21, even if a single election continues in effect for
two, three, or four periods, as provided in Sec. 418.24(c).
(2) Basic requirement. Except as provided in paragraph (a)(3) of
this section, the hospice must obtain the written certification no later
than two calendar days after the period begins.
(3) Exception. For the initial 90-day period, if the hospice cannot
obtain the written certifications within two calendar days, it must
obtain oral certifications within two calendar days, and written
certifications no later than eight calendar days after the period
begins.
(b) Content of certification. The certification must specify that
the individual's prognosis is for a life expectancy of 6 months or less
if the terminal illness runs its normal course.
(c) Sources of certification. (1) For the initial 90-day period, the
hospice must obtain written certification statements (and oral
certification statements if required under paragraph (a)(3) of this
section) from--
(i) The medical director of the hospice or the physician member of
the hospice interdisciplinary group; and
(ii) The individual's attending physician if the individual has an
attending physician.
(2) For subsequent periods, the only requirement is certification by
one of the physicians listed in paragraph (c)(1)(i) of this section.
(d) Maintenance of records. Hospice staff must--
(1) Make an appropriate entry in the patient's medical record as
soon as they receive an oral certification; and
(2) File written certifications in the medical record.
[55 FR 50834, Dec. 11, 1990, as amended at 57 FR 36017, Aug. 12, 1992]
[Page 694-695]
Take special note of part B of the ACTUAL FEDERAL CODE that governs hospice care. If they took the feeding tube out of Terri Schiavo the terminal illness would kill her in roughly 2 weeks, which I believe is what happened. Also, this particular regulation governs medicaid patient reimbursement, Terri was not on medicaid when she first entered the hospice therefore was not subjuect to this particular regulation.
Yep, thanks for the comedy relief. Much needed.