Every finding on record at Care More Inc

Upon patient record review, 4 of 5 (Patient #1 ,#2, #3, #4) did not have evidence that the medical director or physician designee provides written certification that it is anticipated that the patient's life expectancy is 6 months or less if the illness runs its normal course. The physician must consider the following when making this determination: • The primary terminal condition • Related diagnosis • Current subjective and objective medical findings • Current medication and treatment orders • Information about the medical management of any of the patient's conditions unrelated to the terminal illness Patient #1: The physician CTI had incorrect Benefit Period (BP) dates listed as 9/3/21 to 12/2/21. The dates for BP-1 would be 9/3/21 to 12/1/21 to equal 90 days. Patient #2: Patient #1: Physician CTI had incorrect Benefit Period (BP) dates listed as 9/10/21 to 12/9/21. The dates for BP-1 would be 9/10/21 to 12/8/21 to equal 90 days. Patient #3: The physician CTI had incorrect Benefit Period (BP) dates listed as 9/20/21 to 12/19/21. The dates for BP-1 would be 9/20/21 to 12/18/21 to equal 90 days. Patient #4: Patient #1: Physician CTI had incorrect Benefit Period (BP) dates listed as 7/1/21 to 9/29/21. The dates for BP-1 would be 7/1/21 to 9/28/21 to equal 90 days.

Upon patient client record review, 5 of 5 (Patient #1, #2, #3, #4 and #5) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patient #1, 2 ,3, 4, 5- The notice of election did not have a provision that the patient/representative had the right to request the “Patient Notification of Hospice Non-Covered Items, Services, and Drugs” in accordance with 418.24.