TelemedRN provides structured, chart-level documentation defense support designed to help hospice agencies strengthen defensibility, reduce avoidable denials, and prepare confidently for regulatory review. Our services focus on documentation clarity, internal consistency, and narrative alignment, bridging the gap between clinical reality and how it is reflected in the medical record.
Hospice agencies face increasing scrutiny through ADRs, TPEs, and survey activity, often driven by documentation vulnerabilities rather than clinical deficiencies.
TelemedRN supports hospice teams by reviewing documentation through a defensibility lens, identifying where records may fail to clearly support the care provided, and offering targeted, practical guidance to strengthen submissions and ongoing documentation quality.
TelemedRN provides focused, chart-level documentation defense support for hospice agencies responding to:
- Additional Documentation Requests (ADR)
- Targeted Probe & Educate (TPE)
- Pre-submission risk assessments
- Provisional Period of Enhanced Oversight (PPEO)
Reviews evaluate documentation for defensibility, internal consistency, and narrative alignment, clearly distinguishing documentation gaps from underlying clinical realities.
What You Receive:
- Prioritized chart-specific fix lists
- Clear identification of documentation vulnerabilities
- Targeted narrative guidance aligned to clinical context
- Submission-ready recommendations to reduce avoidable denial risk
This service is designed for agencies needing immediate, high-impact documentation support during active review cycles.
Contact TelemedRN to discuss scope and timing.
The TelemedRN ADR Defense Subscription provides ongoing, structured documentation defense support for hospice agencies managing sustained or recurring ADR activity.
Subscriptions are designed to scale with volume and complexity while improving documentation consistency over time.
Program Features:
- Monthly chart reviews
- Chart-specific fix lists and narrative improvement guidance
- Re-reviews after documentation updates are implemented
- Progressive enhancements as volume increases, including:
- Trend and pattern analysis
- Priority turnaround times
- Coaching and consultative support
- Targeted staff education
This program supports long-term readiness, defensibility, and documentation maturity, not just reactive fixes.
Contact TelemedRN to discuss volume needs and engagement options.
The TRN Survey Preparedness Batch Review™ is a proactive, prevention-focused service designed to identify systemic survey vulnerabilities before citation occurs.
TelemedRN reviews a representative batch of hospice charts using:
- CMS Conditions of Participation
- National survey deficiency trends
- Interdisciplinary documentation standards
Findings are translated into agency-level insights, not just chart feedback.
Deliverables Include:
- Identification of recurring documentation and governance risks
- Heatmaps highlighting systemic vulnerability areas
- Targeted education and remediation recommendations
This service is distinct from billing defense and is designed specifically for survey readiness and compliance improvement.
Contact TelemedRN to discuss scope and timing.
- Hospice-specific documentation expertise
- Focus on defensibility, not just completeness
- Clear differentiation between clinical reality and documentation risk
- Actionable, prioritized guidance, not generic feedback
- Designed to reduce disruption while improving long-term readiness
Whether responding to active ADRs or preparing proactively for survey activity, TelemedRN provides structured support designed for hospice agencies navigating today’s regulatory environment.
