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Adult failure to thrive (aftt) is the presence of one or more medical conditions, usually in elderly, frail patients, that put them at risk of further decline Debility and aftt can & should be listed as secondary (related) conditions to support prognosis if indicated. Aftt, however, is not a specific diagnosis that can serve as the reason for a referral to hospice care.
This hospice policy addresses those cases where reversible causes of severe nutritional impairment and disability (i.e., the adult ftt syndrome) have been excluded. Who may be eligible for care with hospice of southern illinois? This tool provides an overview of palliative care referrals and helps identify patients who may be appropriate for hospice care
It is not intended to supersede your clinical judgment regarding a patient’s prognosis.
Therefore, failure to thrive should be documented alongside other terminal conditions and with evidence of progressive decline, rather than as a standalone hospice diagnosis. However, adult failure to thrive can be considered as a secondary hospice diagnosis, and cms has established criteria to determine if the individual has a prognosis of six months or less if the disease progresses as expected. I’m hearing a lot of questions about whether someone with frailty, debility, or adult failure to thrive can still be admitted to hospice, especially since cms will no longer beaccepting either debility or adult failure to thrive (aftt) as a principal diagnosis on hospice claim forms starting on oct Discover which diagnosis codes cannot be used as primary diagnoses on hospice claims to ensure proper billing and patient care
Stay compliant with cms guidelines.
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