Hospice charting software · Charlotte, NC
Hospice charting software for Charlotte agencies
LCD-aligned visit notes, HOPE assessment tracking, and audit-defensible documentation — built for Mecklenburg County hospice nurses.
Medicare MAC: Palmetto GBA (Jurisdiction M) · Serving agencies throughout Mecklenburg County and the Charlotte metro
Charlotte has grown from a mid-sized Southern city into the financial capital of the American South, and its hospice market has grown with the population. Mecklenburg County's rapid growth means a large and continuing inflow of residents — many without established local physicians or long-term healthcare relationships — which creates a documentation challenge: hospice nurses often inherit patients whose prior records are scattered across multiple health systems in other cities or states.
Charlotte and the greater Mecklenburg metro operate under Palmetto GBA (Jurisdiction M), which covers North Carolina, South Carolina, Virginia, and West Virginia. Palmetto's Jurisdiction M LCD criteria are consistent with the CMS national framework, and North Carolina has a well-developed regulatory infrastructure for hospice through the NC Division of Health Service Regulation.
The Charlotte metro includes significant suburban hospice markets beyond Mecklenburg County — Union, Gaston, Cabarrus, and Iredell counties are substantial markets in their own right, and agencies based in Charlotte often serve patients across this multi-county footprint. Documentation consistency across a wide geographic team is a core operational challenge for Charlotte-area hospice agencies.
What NotePush does for Charlotte hospice nurses
LCD-aligned notes
Every visit note maps to the Medicare eligibility criteria for the patient's diagnosis. No boilerplate — specific, auditable language.
HOPE assessment tracking
Dashboard alerts for open Admission, HUV1, HUV2, and Discharge windows. CMS requires 90%+ submission to avoid the 4-pt APU penalty.
Recertification narratives
AI generates recert narratives from visit trends — PPS, weight, ADL status — not copy-forward language that flags in ADR review.
Note audit tool
Paste any note and see exactly which LCD criteria it meets, what's missing, and what an ADR reviewer would flag.
Communities served near Charlotte
NotePush is used by agencies serving Charlotte and the surrounding communities in Mecklenburg County:
Health systems in Charlotte
Hospice patients in Charlotte frequently transition from these health systems. NotePush documentation is designed to bridge the clinical record from acute care to hospice charting:
- → Atrium Health (Carolinas Medical Center)
- → Novant Health
- → CaroMont Health
- → Presbyterian Medical Center
Questions from Charlotte hospice agencies
Our Charlotte agency covers patients in both North and South Carolina. Does one NotePush account work for both states?
Yes. NotePush doesn't restrict by state — your agency account covers all patients in your census regardless of state. Both NC and SC fall under Palmetto GBA (Jurisdiction M for NC, Jurisdiction J for SC), and the documentation requirements are consistent. The LCD eligibility framework applies the same clinical criteria in both states.
How does NotePush handle documentation for patients whose prior records come from health systems in other cities?
NotePush lets you input patient clinical data directly — you're not dependent on importing records from other systems. Nurses document what they observe on each visit: PPS, ADL status, relevant measurements, and clinical findings. The AI note generator synthesizes current visit data and known history into a clinically coherent narrative, so the absence of prior records doesn't compromise documentation quality.
Does NotePush meet North Carolina hospice licensure documentation requirements?
NotePush is designed around CMS Medicare documentation standards, which govern the clinical quality threshold for hospice care. NC hospice licensure requirements (NCGS Chapter 131E) have additional administrative requirements that overlap significantly with Medicare standards. We recommend confirming specific NC licensure requirements with your compliance team, as these vary by agency type and size.
Free for Charlotte hospice agencies
Try NotePush with synthetic patients — no PHI, no BAA required until you're ready for real patients. Works in any mobile browser; no app download.