U.S. hospice providers
Hospice charts that make sense. Physicians who write better ones.
HospiceDefender pulls a scattered patient chart into one ordered, scored review, and grades every certification narrative against the criteria a reviewer uses — showing exactly what's present and what's missing, so physicians learn what a complete narrative needs.
Get on the listThe reality hospice teams face
Documentation that should take minutes takes hours.
And still feels incomplete by the time it's done. Three pressures, every certification period.
Recerts don't read like a story.
Patient information is scattered across dozens of screens. What should take minutes takes hours, and the picture is incomplete by the time it's done.
Physicians fall into bad habits.
Narratives drift into phrasing that sounds clinical but reads as thin to a trained reviewer. No one in the agency has time to coach line by line.
Nobody can see the pattern.
A single weak narrative is a moment; a pattern across a physician, a site, or an LCD is a problem — usually discovered in a probe letter, not before.
Three services, one way of seeing the chart
What we do
We grade narratives against the LCD criteria a reviewer uses, and pull whole charts into one ordered, scored review.
Certification Interactive Audits
Grade the narrative as it's written
A session workspace for the IDG / QAPI meeting. Each certification narrative comes back graded against the LCD criteria — the diagnosis and comorbidities it captured, the required findings it has, and the ones it's missing.
Graded result
Primary diagnosis
Heart disease (CHF)
Comorbidities
CKD · COPD
Required findings
Terminal prognosis stated
NYHA Class IV documented
Measurable decline since last cert — not documented
Add an objective measure of interval decline — weight loss, PPS change, or recurrent hospitalization.
Sample output — synthetic, not patient data.
Required findings named — present and missing
Recommendations for the gaps, before signing
Durable, dated record for the patient file
Certification Bulk Audits
Grade the backlog, find the hotspots
Upload a population — a physician's caseload, an acquired catalog, every recert hitting next quarter. Every narrative graded on the same criteria, with a clear pass / fail on each and run totals at a glance.
612
Total
541
Pass
58
Fail
13
Acc.
cert_04417.pdf
cert_04418.pdf
Sample output — one run, synthetic data.
100% coverage in place of sampling
Per-record outcome and run-level totals
OCR for scanned PDFs; reporting rolls up by physician, site, and LCD
Clinical Record Audits
The whole chart on a timeline, then scored
Upload a chart bundle — election, F2F, CTI, plan of care, visit notes. The system orders every document within its start-of-care, certification, and IDG periods, checks each against the §418 requirements with a link to the source document, then compiles a scored compliance result.
Start of care
Election & certification
Signed, witnessed
Certification period 1
Face-to-face encounter
Attestation not signed within window
IDG interval
Plan of care updated
Aligned to level of care
Sample output — synthetic, not patient data.
Documents ordered within SOC, cert, and IDG periods
Per-patient compliance % and defect count
Same review serves ADR, ALJ, and surveyor prep
Why it sticks
Physicians who get better, not worse.
The point of Interactive Audits isn't faster IDG meetings, though they are faster. The point is that the physician learns from the system across sessions — which required findings their narratives consistently capture, and which ones they keep leaving out. Habits move in the right direction without a medical director having to chase every attending personally.
Outcomes that matter
Why agencies use it
The chart, finally readable.
Clinical record audits replace screen-by-screen archaeology with one ordered, scored review. The same review supports ADR responses, ALJ hearings, and surveyor visits — the work isn't redone for each audience.
Physicians who get better, not worse.
Interactive audits show which required findings each narrative has and which it's missing — not what to write. The system grades; it doesn't ghostwrite. Habits move in the right direction.
Coverage instead of sampling.
Bulk audits put every narrative through the same lens at the same precision. The agency stops finding patterns when a probe letter arrives and starts finding them when they form.
Hotspots you can act on.
Reporting rolls graded narratives and audited charts up by site, physician, and LCD. “I think Dr. X's narratives are weak” becomes a number with a name on it.
A note on the audit climate
Hospice has become one of the most-audited Medicare lines, and that posture is not going to reverse. The defensible answer isn't to brace for the next probe — it's to make every chart and every narrative read clean before anyone outside the agency ever looks at one.
In private beta
Get on the early-access list.
HospiceDefender is in private beta today. Tell us about your organization and we'll add you to the list and reach out as we open to new providers. By invitation only — no self-serve signup, no automated marketing follow-up.