Hospice charting software · Houston, TX
Hospice charting software for Houston agencies
LCD-aligned visit notes, HOPE assessment tracking, and audit-defensible documentation — built for Harris County hospice nurses.
Medicare MAC: Novitas Solutions (Jurisdiction H) · Serving agencies throughout Harris County and the Houston metro
Houston's hospice market is among the largest in the country, spread across Harris County's 1,777 square miles and extending into Montgomery, Fort Bend, Brazoria, and Galveston counties. Agencies here face a documentation challenge that's outsized even for a major metro: the patient population is extraordinarily diverse — Spanish-speaking families, Vietnamese-speaking patients in Bellaire and Sugar Land, large refugee and immigrant communities — and visits can span everything from dense inner-loop zip codes like 77030 (Medical Center) to rural stretches in unincorporated Harris County where connectivity is spotty.
Hospice nurses in Houston work under Novitas Solutions (Jurisdiction H), which administers Medicare hospice claims for Texas. Novitas's LCD criteria align closely with the national framework, and clinical documentation expectations reflect the same emphasis on PPS, functional decline, and diagnosis-specific criteria that CMS publishes nationally. The Houston region also sees high volumes of cancer hospice patients — given MD Anderson's role as a major referral center, many patients transition to hospice after long oncology care journeys, and documentation often needs to bridge an oncology record with a hospice narrative.
What NotePush does for Houston 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 Houston
NotePush is used by agencies serving Houston and the surrounding communities in Harris County:
Health systems in Houston
Hospice patients in Houston frequently transition from these health systems. NotePush documentation is designed to bridge the clinical record from acute care to hospice charting:
- → Houston Methodist
- → Memorial Hermann
- → HCA Houston Healthcare
- → Baylor St. Luke's
- → MD Anderson Cancer Center
Questions from Houston hospice agencies
Does NotePush work for hospice agencies in Houston using Texas Medicaid in addition to Medicare?
NotePush is built around Medicare LCD criteria, which govern the vast majority of hospice eligibility determinations. The documentation framework — PPS, ADL status, diagnosis-specific criteria — translates well to Medicaid hospice as well, since Texas Medicaid hospice follows similar clinical standards. The AI note generator produces clinically defensible documentation regardless of payer.
Can Houston nurses use NotePush in the field without reliable cell service?
NotePush is a web app that runs in modern mobile browsers. For offline use in areas with spotty coverage — common in unincorporated Harris County — we're building IndexedDB-backed offline queuing. For now, notes can be drafted offline in the browser if the page is already loaded, and submitted when connectivity resumes.
Our Houston agency documents in both English and Spanish. Does NotePush support bilingual documentation?
NotePush generates notes in English, which is the required language for Medicare documentation. However, the patient intake and family communication fields support notes in any language, and the visit note can include Spanish-language quotes from patient or family interactions as clinically relevant observations.
How does NotePush handle Novitas Solutions ADR requests for Houston agencies?
NotePush produces documentation structured around the LCD criteria that Novitas reviewers look for: PPS at every visit, explicit ADL documentation by name, diagnosis-specific criteria language (FAST stage for dementia, NYHA Class IV for cardiac, SpO2 on room air for pulmonary), and serial measurements that demonstrate decline. This is the same structure that survives ADR review regardless of MAC.
Free for Houston 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.