Every finding on record at Touch of Care Hospice, Inc

Upon patient record review, 3 of 5 (Patient #1, 2, 3) 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 Patients #1, #2, #3: The medical record did not contain evidence of a statement by the physician attesting that the composition of the narrative was based on his review of the patient's medical record or by his examination of the patient.