Hospice charting software · Nashville, TN
Hospice charting software for Nashville agencies
LCD-aligned visit notes, HOPE assessment tracking, and audit-defensible documentation — built for Davidson County hospice nurses.
Medicare MAC: Palmetto GBA (Jurisdiction J) · Serving agencies throughout Davidson County and Middle Tennessee
Nashville's position as the headquarters of HCA Healthcare — the largest for-profit hospital system in the US — gives it an unusual relationship to hospice care. The city is home to significant health system expertise and a well-developed post-acute care infrastructure, but the hospice market here competes intensely for patients transitioning from large system hospitals. Documentation quality is a direct competitive differentiator for Nashville hospice agencies: families choosing between providers often receive copies of care plans and notes, and clinical documentation that reads professional and thorough matters.
Davidson County agencies operate under Palmetto GBA (Jurisdiction J), which administers Medicare Part A and B for Alabama, Georgia, and Tennessee. Palmetto's LCD criteria follow the CMS national framework and apply the same diagnosis-specific thresholds: FAST 7A for dementia, NYHA Class IV for cardiac, dyspnea at rest or SpO2 ≤88% for pulmonary.
Middle Tennessee has a significant rural hospice market beyond Davidson County. Agencies serving patients in Williamson, Rutherford, Sumner, and Wilson counties often cover long distances between visits, and nurses need documentation workflows that work quickly and reliably in the field.
What NotePush does for Nashville 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 Nashville
NotePush is used by agencies serving Nashville and the surrounding communities in Davidson County:
Health systems in Nashville
Hospice patients in Nashville frequently transition from these health systems. NotePush documentation is designed to bridge the clinical record from acute care to hospice charting:
- → Vanderbilt University Medical Center
- → HCA Healthcare
- → TriStar Health
- → Ascension Saint Thomas
- → Meharry Medical College
Questions from Nashville hospice agencies
Our Nashville agency competes with large health-system-affiliated hospice programs. Does NotePush help with documentation quality?
Documentation quality is one of NotePush's core value propositions. The AI note generator produces evidence-traced notes — every clinical claim is grounded in documented measurements or visit observations. Notes read professionally and specifically, not like template fill-ins. For Nashville agencies competing with large system programs, this translates directly into family confidence and audit readiness.
Does NotePush work with Palmetto GBA's documentation requirements for Tennessee?
Yes. NotePush is built around CMS national LCD criteria, which Palmetto GBA (Jurisdiction J) follows for Tennessee hospice. The documentation structure — serial PPS, named ADL dependencies, diagnosis-specific thresholds — is what Palmetto reviewers look for in ADR review. The audit tool surfaces exactly what's missing and what language to use.
Our agency covers rural Middle Tennessee counties with poor cell service. Can nurses use NotePush in the field?
NotePush works in any modern mobile browser. For areas with intermittent connectivity — common in rural Williamson or Rutherford County — notes can be drafted when the page is already loaded, then submitted when connectivity returns. Full offline-first support with IndexedDB queuing is in our roadmap.
Free for Nashville 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.