Billing:
Service Intensity Add-Ons (SIA)- specialized, high-intensity, in-person visits by registered nurses or medical social workers for hospice patients, incentivized by CMS to improve care during the final 7 days of life. These visits are reimbursed at the higher continuous home care hourly rate for up to 4 hours daily.
Unlike CHC hours, SIAs do not have to be entered manually, this are automatically recognized by the system and the appropriate documentation used in edocs by the applicable employee.
Edocs:
These are referred as EOL ( End of Life Visits). Any visit notes or when a Progress note is used, and "visit" is selected will count towards your SIAs.
Hospice Tools Help Guides:
EOL ( End of Life) Visit Count Report
External Resources: