Great information – thank you so much!

 

Happy Friday!

Katie

 

From: Jennifer Stark - Jennifer.Stark at aspirus.org (via medicarewkgp list) <medicarewkgp@list.mnhomecare.org>
Sent: Thursday, October 10, 2024 4:31 PM
To: medicarewkgp@list.mnhomecare.org; crrcomm@list.mnhomecare.org
Subject: RE: Hospice CTI question

 

Hi Katie, No, only the physician can write the narrative for the certification statement, and they attest to this when they sign. Below is an excerpt from the Medicare Benefit Policy Manual: I’ve also attached a CTI Compliance Guide from NHPCO

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Hi Katie,

No, only the physician can write the narrative for the certification statement, and they attest to this when they sign.

Below is an excerpt from the Medicare Benefit Policy Manual:

 

I’ve also attached a CTI Compliance Guide from NHPCO for reference, see pg 5.

 

The only way staff would ever ‘assist’ with a narrative statement is by sending clinical information (e.g. copies of records, copies of prognosis guidelines, etc) that the MD can review to help with writing their narrative.  Again, we don’t fill in anything on the CTI, this is all separate medical record documentation that is sent along with the CTI for the MD to complete.  We rarely need to do this, and never for our Hospice MDs as they have access to our records and review intake notes and assessments to find this data (weight, PPS, etc).  We only send this type of info if we have an attending MD who seems to be struggling with sending us a valid CTI for admission (e.g. they keep sending CTI back without narrative, or simply listing terminal dx, etc…without a narrative with clinical findings). 

 

Good luck!

Jen

 

Jennifer Stark, RHIA

Health Information & Compliance Coordinator

Home Care & Hospice

Ph: 218.249.6147  Fx: 218.249.6166

915 East 1st Street
Duluth, MN 55805

aspirus.org  |  slhduluth.com

 

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From: Troumbly, Katie J - Katie.Troumbly at fairview.org (via medicarewkgp list) <medicarewkgp@list.mnhomecare.org>
Sent: Thursday, October 10, 2024 3:37 PM
To: medicarewkgp@list.mnhomecare.org; crrcomm@list.mnhomecare.org
Subject: Hospice CTI question

 

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Hi all,

 

Quick question regarding the Hospice CTI. Does your staff (can they?) assist the provider in creating the CTI?  If your response is absolutely not, I would love to hear more about that. Our medical director is lazy and really wants nothing to do with it aside from signing a complete one. I’m a newbie to Hospice here and trying to learn the rules.

 

 

Thanks in advance!

Katie

Katie Troumbly, BSN, RN, PHN, CNML

Regional Administrator Home Care & Hospice

 

Grand Itasca Home Care                                           Fairview Range Home Care & Hospice

Professional Building | Grand Itasca Clinic & Hospital          Mesabi Business & Medical Center | Fairview Range

111 SE 3rd Street | Grand Rapids MN, 55744                         1101 E 37th Street Suite 27 | Hibbing MN, 55746                                            

Office: 218-999-1047                                                  Main office 218-262-6982 *17121

Cell: 218-259-1383                                                    

 

 

 

 

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