Hospice Certification Order Certificate of Terminal Illness 2025

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and meet all of these conditions: Your hospice doctor and your regular doctor (if you have one) docHub that youre terminally ill (with a life expectancy of 6 months or less). You accept comfort care (palliative care) instead of care to cure your illness.
Documentation must include the date of the encounter, an attestation by the physician or nurse practitioner that he/she had an encounter with the beneficiary. If the encounter was done by a nurse practitioner, he/she must attest that clinical findings were provided to the docHubing physician.
Documentation must be objective. We are to document what we: see, hear, smell, touch, measure and identify as deviant from normal. Insurance payors may reject payment and may force us to discontinue care for those who need our care, if visible decline or deterioration of health is not visible in our documentation.
Since only the hospice medical director/ hospice physician provides certification for the 2nd 90 day and all 60 day periods, this means only the hospice medical director/hospice physician will compose the narrative. Face-to-face (F2F) encounter and attestation (for 3rd and all subsequent benefit periods).
A brief narrative, written by the docHubing physician, explaining the clinical findings that support the patients life expectancy of six months or less. This narrative can be a part of the certification/recertification form or as an addendum to the form.
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A statement that the patient is terminally ill with a life expectancy of 6 months or less if the terminal illness runs its normal course; - Example: I docHub that (beneficiarys name) is terminally ill with a life expectancy of six months or less if the terminal illness runs its normal course.

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