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 [...]


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

ping pong ball

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 [...]


21st Century Healthcare Consultants present their new Hospice Start Up Package

I am excited to report that I’ve joined forces with 21st Century Healthcare Consultants in developing a comprehensive Hospice Start Up Program. I’ve long been impressed with their work in the home health industry and when the company started discussing the addition of  hospice to their line of offerings, if they could just find the right person [...]


Changes in Hospice; New Demands in Data; Get Expert Assistance

2014 is bringing many changes to the hospice industry. Outcome reporting is looking a lot like OASIS reporting and software selection is going to prove crucial in managing those changes. I am so pleased to announce that I am returning to CHAP and consulting after a year in the “real world”. I have learned so [...]


Hospice Management Suite (HospiceSoft)


I’ve had the good fortune to demo Hospice Management Suite after reading a review by TIm Rowan of Health Care Technology Report who can be counted on for unbiased assessments of the contenders in the healthcare software industry. If you are not familiar with Tim’s work you should peruse his website at the link above. [...]


I ran into Christine King on a list serv at DecisionHealth Click on the graphic to gain access to industry experts all over the country. Back to Christine, I was looking for a more efficient way to QA electronic records on Kinnser and discussed my needs with Christine. Turns out has a whole menu of [...]