MCN’s customizable template, Revocation of Election Statement, is taken from our Hospice Policy and Procedure Manual. MCN Healthcare’s proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals.

Health care organizations around the world utilize MCN’s compliant ready templates and workflow process tools to help them meet the latest changes in regulations and standards.

Here is some sample content from Revocation of Election Statement:

	PURPOSE: To outline the process by which a patient, family or caregiver may revoke the election of hospice care under the Medicare/Medicaid Hospice Benefit Program. POLICY: A patient, family or caregiver may revoke the election of Hospice care anytime. PROCEDURE: To revoke this care the patient, or patient's legal representative, must sign a Revocation of Election Hospice Care Statement that will be filed in the patient's medical record. In revoking these benefits the individual forfeits coverage for any remaining days in that election period. Any individual can in the future sign onto...
Second excerpt:
	... must sign a Revocation of Election Hospice Care Statement that will be filed in the patient's medical record. In revoking these benefits the individual forfeits coverage for any remaining days in that election period. Any individual can in the future sign onto remaining election periods if admission criteria are met. 1 SUBJECT:REVOCATION OF ELECTION STATEMENTREFERENCE #1002PAGE: 1DEPARTMENT: HOSPICE OF: 1EFFECTIVE: APPROVED BY: REVISED: ...