After Hours On-Call Solutions


NurseLineLogo is a new solution to an old problem.

NurseLine provides hospice specialized triage services. The service provides hospice certified and experienced  RN’s to answer your patient’s/facility call after hours. A live RN to answer the phone instead of complicated voice mail prompts that can prove frustrating to patients and families in time of  crisis.

NurseLine provides the hospice with quality, compassionate, calm confidence with  hospice RN’s that answer each patient’s call. The RN can contact the medical director for orders as necessary, order medications within the hospice’s formulary and notify RN’s or LPN’s for the need of a visit as indicated. The NurseLine RN will follow up with the patient/family/facility to ensure satisfaction and favorable outcomes.

The experienced hospice RN can also assist the hospice in containing costs by their knowledge of hospice appropriate interventions that have been proven to be clinically as well as financially effective. This same knowledge can drastically reduce hospitalizations and continuous care costs.

For more information; contact myself or Eric Edstrom at



Hospice CAHPS : Get Ready!

Hospice CAHPS is here. If you have cared for more 50 or more decedents you will need to make a “dry run” before April 1st. Results from this dry run will not be published but demonstrates you have transmission capacities. Be ready to participate in the H-CAHPS process, it’s MANDATORY! Thanks to my friends at [...]

garden gate

A Hospice Story

Rural San Diego County, California is about as close to heaven as I can imagine. I drove long distances between my patient’s homes on mountain roads lined with all sorts of flowering bushes and trees. It was sunny and 70 almost year round. I was driving through a lemon grove on the top of a [...]

Review of Axxess Software

I admit this review is long overdue. I’ve been seeing Axxess being utilized in the majority of agencies that I’ve visited as both a surveyor and consultant. As it turns out, it is because they have over 1800 home health clients since their inception in 2011. That’s pretty impressive. I had a long chat and [...]

It’s a new year! Have you scheduled your annual agency requirements?

Yep it’s a brand New Year! Thought I’d post a reminder about your Medicare/CHAP requirements 1. Obviously, you’ve made arrangements for your Medicare Cost report 2. Have you made arrangements for an “external financial review”? CHAP standards CIII.3 requires that an accountant review the books of the agency and document that the agency followed Generally [...]


Hospice Certification: For the Whole Team

I just took and passed my 4th recertification exam to maintain my hospice and palliative care nurse certification—whew! I was so disappointed in the first exam because I had all my med conversions and symptom management best practices down cold. I don’t think there was one question about opiate conversion on that test. This one [...]

ping pong ball

Quality Assurance, Quality Assesment/Performance Improvement, Quality Improvement, Whatever You Call It or “A Rose By Any Other Name”

Several recent plans of corrections for CHAP and some recent software demo’s put me in mind to rant a bit about the monster that home health and hospice agencies call QA (or QI or QAPI, etc). These monsters were conceived when the industry started to utilize technology and it is out of hand, folks! It doesn’t [...]


Hospice Billing Resource

I am so proud to endorse my friend Theresa Scott at for her expertise in hospice billing and coding. Sure, she does LOTs of other stuff, including home health billing,  collections, claims recovery, and she does it all BRILLIANTLY. However, I’m REALLY excited about adding a hospice billing/coding company to the resources in my toolbox [...]


The Hospice OASIS is HERE; Otherwise called Hospice Item Set of HIS

Now at least it’s only a few pages long (OASIS is about 18) but we have to submit this quality data within 30 days of admission and 30 days of discharge.  Do you know how? Please contact me at  and let me know if your hospice software is submitting this data for you!!!! I [...]