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Can a certified hospice agency deny services because the patient is deemed too close to death to be profitable for the hospice agency? This seems at least to be unethical and at worst a potential violation of CMS certification requirements. but I am not sure. Thanks in advance for your reply.

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It certainly sounds unethical. Do you have a choice of agencies in your community? If not, check with your state website. Type the name of your state in your browser and then type "aging" next to it. Look over the links and try any that look promising.

You could also type "hospice" next to your state's name. Hopefully, you'll get some links on caregiving support and find a contact who can give you local advice.
Take care,
Carol
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talk to your doc. they dont want to make enemies with a doc. our doc lit into hospice concerning their pushy attitudes in our home and the results were significant and immediate.
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Don't know the facts but I would guess a for profit agency can do what it likes. If the agency accepts Medicare/Medicaid it is not profitable for them to refuse patients however close to death they are. Sometimes the patient actually dies during admission and as long as the paperwork is signed the hospice will get paid for that day. The admission nurse is very careful when ordering medications and supplies and only gets a few days meds at a time so there is no waste. Even if the Dr orders a 3 month supply the pharmacy will dispense a few days at a time when requested. Definitely unethical but so are many things involving money.
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