The LCD (Local Coverage Determination) documentation included within the nurse chart section of the EMR are used for determining a prognosis of six months or less. Since you are looking for a decline over time, baseline data upon admission should be included. There may be clinical facts not on the following list that support a poor prognosis. Include them in your documentation.
Refer to the CMS Local Coverage Determination (LCD) Hospice Determining Terminal Status for more information.
*The LCD forms in Hospice Tools can be used prior to the admission of a Hospice patient to evaluate their eligibility . They can also be used in addition to the Nurse Recertification for recurring recertification periods.
Additional Resources: