This table provides a percentage breakdown of the four levels of hospice care with further sub-categories that identify the location of each level of care. We breakout the levels of care into three subgroups based on the place of service where the care was provided.
As a general point of reference, the following table includes the national averages for each type of care provided using the levels and subcategories we use in the Trella Health Solutions. These national averages for each subcategory are based on a percentage of days of hospice care provided during the year irrespective of admit date.
Understanding the Data
This table breaks down the different levels of care and the locations where that service takes place. The row will add up to 100%. Although not every hospice will provide every type of care, nor will all locations be represented, the row will still add up to 100%.
- Routine Home Care is the most common level of hospice care provided, whether at the patient's home or in a medical facility. This care can be provided in the patient's home, at a hospice facility, a SNF, or an assisted living facility. The percentage of this level of care is generally in the mid 90's.
- Continuous Care is primarily nursing care provided when a patient needs more than 8 hours of care in a day. This type of care is provided for patients with acute symptoms or who need extensive pain control interventions.
- Respite Care is provided to allow the patient's family member caregivers temporary relief from providing care to the patient. Respite care is provided for a maximum of five consecutive days and can be provided in any care setting that has the personnel to provide 24 hour care.
- General Inpatient Care is provided for patients who cannot be cared for in any other setting. Like respite care this can be provided by any facility has the ability to provide 24 hour care.
Revenue Codes and Q Codes
The following table shows the alignment between the Revenue codes and Q Codes and where we place them in the table.
|Level of Care||Routine Home Care||Continuous Care||Respite Care||General Inpatient Care|
|Place of Service||Home||Facility||Other||Home||Facility||Other||Hospital||SNF||Other||Hospital||SNF||Other|
|All Q Codes other than Q5001, Q5002, Q5003, Q5004||Q5001||
|All Q Codes other than Q5001, Q5002, Q5003, Q5004||Q5005, Q5007, Q5008||Q5004||All Q Codes other than Q5004, Q5005, Q5007, Q5008||Q5005, Q5007, Q5008||Q5004||All Q Codes other than Q5004, Q5005, Q5007, Q5008|
As a quick Reference, here are the Q Codes and their descriptions:
|HCPCS Q Code||Description|
|Q5001||Hospice care provided in patient's home/residence|
|Q5002||Hospice care provided in Assisted Living Facility (ALF)|
|Q5003||Hospice care provided in Nursing Long Term Care Facility (LTC) on Non-Skilled Nursing Facility (NF)|
|Q5004||Hospice care provided in Skilled Nursing Facility (SNF)|
|Q5005||Hospice care provided in inpatient hospital|
|Q5006||Hospice care provided in inpatient hospice facility|
|Q5007||Hospice care provided in Long Term Care Hospital (LTCH)|
|Q5008||Hospice care provided in inpatient psychiatric facility|
|Q5009||Hospice care provided in place not otherwise specified (NOS)|
And for those of you familiar with UB-04 (CMS-1450), here's where those codes are recorded.
Level of Care and Place of Service