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The hospice interdisciplinary group, in consultation with the individual's attending physician (if any), must complete the comprehensive assessment no later than 5 calendar days after the election of hospice care in accordance with § 418.24.
As part of the narrative, the narrative shall include a statement directly above the physician signature attesting that by signing, the physician confirms that he/she composed the narrative based on his/her review of the patient's medical record or, if applicable, his or her examination of the patient.
The Hospice Medicare CTI Audit Tool allows Hospice providers to audit the certification of terminal illness for all technical requirements. The Hospice Medicare Election Audit Tool allows Hospice providers to audit the Medicare election statement for all technical requirements.
Delayed Certification Delayed certifications and recertifications will be honored where, for instance, there has been an oversight or lapse, and there is a legitimate reason for the delay. Denials for this reason will be technical and can be reopened.