We conduct a review of clinical records to identify documentation strengths, opportunities for improvement, compliance concerns, and eligibility support. 

Services may include: 

• Admission documentation review 

• Recertification review 

• Face-to-Face encounter review 

• CTI review 

• Physician narrative review 

• Hospice eligibility analysis 

• LCD support review 

• Visit frequency analysis 

• Live discharge risk identification 

• Documentation coaching and education 

Deliverables may include written findings, coaching sessions, staff education, and corrective action recommendations. 

Comprehensive review of records selected for Additional Documentation Requests (ADRs). 

Services may include: 

• Clinical record review 

• Identification of supporting eligibility documentation 

• Gap analysis 

• Development of response strategy 

• Drafting of clinical summaries 

• Drafting of ADR response narratives 

• Identification of additional supporting documentation 

• Education regarding future risk mitigation 

Final submission remains the responsibility of the hospice provider. 

Review and analysis of records requested by Medicare contractors and governmental agencies. 

Services may include: 

• Audit preparation 

• Clinical record review 

• Response strategy development 

• Documentation support 

• Risk analysis 

• Corrective action planning 

• Leadership coaching 

• Education regarding future audit prevention 

Remote consultation designed to strengthen regulatory compliance and operational readiness. 

 Areas of focus may include: 

• Conditions of Participation compliance 

• Documentation standards 

• Record retention practices 

• Survey preparedness 

• QAPI development 

• Governing body oversight 

• Admission practices 

• Revocation monitoring 

• Live discharge monitoring 

• Marketing compliance 

• Vendor and contract review 

• Staff education 

Focused review and coaching designed to strengthen clinical documentation and support hospice eligibility. 

Areas may include: 

• CTI narratives 

• Face-to-Face narratives 

• Admission documentation 

• Recertification documentation 

• Nursing documentation 

• Social work documentation 

• Chaplain documentation 

• IDG documentation 

• Hospice aide documentation 

• Demonstrating decline 

• Defending terminal prognosis 

• Defending appropriateness of hospice admission 

Review of organizational policies and procedures for alignment with Federal Medicare Conditions of Participation and accrediting body standards. 

Important Note: Policy review is limited to federal regulatory requirements and general hospice industry best practices. State-specific licensing requirements vary significantly and legal review of state-specific requirements remains the responsibility of the hospice provider and its legal counsel. 

Services may include: 

• Gap analysis 

• Policy recommendations 

• Policy updates 

• Compliance guidance 

• Accreditation readiness review 

Preparation for state, federal, CHAP, ACHC, Joint Commission, and other accrediting body surveys. 

 Services may include: 

• Mock surveys 

• Survey readiness assessments 

• Staff interviews 

• Documentation review 

• Deficiency prevention strategies 

• Leadership coaching 

Assistance responding to survey findings and regulatory citations. 

Services may include: 

• Deficiency analysis 

• Root cause analysis 

• Corrective action planning 

• Plan of Correction drafting assistance 

• Monitoring and implementation recommendations 

• Education and retraining support 

On-site or remote evaluation of hospice operations. 

 Assessment areas may include: 

• Clinical operations 

• Compliance infrastructure 

• Documentation practices 

• Billing and reimbursement processes 

• Marketing practices 

• Human resources 

• QAPI programs 

• Infection prevention 

• Governing body oversight 

• Contract management 

• Survey readiness 

• Organizational risk assessment

Deliverables include a comprehensive findings report, prioritized recommendations, corrective action guidance, and leadership consultation.