Hospice Documentation Audit Checklist

ALECC Hospice Documentation Audit Checklist

As Hospice providers, it is critical to understand the federal Medicare hospice benefit regulations as it relates to medical record documentation and eligibility. In an environment of enhanced oversight, it is recommended that Hospice providers audit their medical record documentation for key areas of focus that include:

Key Areas of Focus

• Technical Eligibility: Verification of benefit elections, accurate benefit periods, and valid election statements.
• Clinical Eligibility: Ensuring the documentation supports a terminal prognosis (a life expectancy of 6 months or less if the disease runs its normal course).
• Physician Documentation: Verifying that the Certification of Terminal Illness (CTI), face-to-face encounters, and recertification narratives meet strict LCD and hospice regulations.

If your Hospice Agency is preparing for survey, compliance readiness – ADR audits, quarterly or routine documentation or performance improvement, ALECC, Inc. has the tool for you. We have devised a comprehensive Hospice Documentation Audit Checklist to assist your agency meet documentation compliance requirements.

The Hospice Documentation Audit Checklist covers hospice requirements in a detailed checklist format including recommendations and guidance within the tool:

• *Hospice Election Statement with Example of completed form 
• *Patient Notification of Hospice Non-Covered Items, Services and Drugs with Example of completed form 
• Initial Physician Certification for Hospice Benefit (CTI)
• Subsequent Physician Certification for Hospice Benefit
• Physician Narrative
• Face-to-Face Encounter
• Plan of Care
• IDG
• Comprehensive Assessment
• Updated Comprehensive Assessment

Price: $99

Your agency will receive the Hospice Documentation Audit Checklist, along with examples of a completed Notice of Election and Patient Addendum, as well as helpful tips for your agency in each category.

Pro-actively identifying challenges with medical record documentation can reduce risk related to survey deficiencies, recoupments of Medicare monies or beneficiary eligibility concerns. All of these issues can have a serious financial and operational impact on a Hospice Agency. There are many advantages to utilizing ALECC’s Hospice Documentation Audit Checklist!!

ALECC, Inc. wishes your agency much success. Our tools are designed based on years of experience, ongoing feedback and measurable success with MAC’s, Medicare, and providers.