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Hospice documentation guide

Dementia Charting Reference

ICD-10: G30.x

LCD L34538 Eligibility Criteria

Part II required for all diagnoses:PPS <70 AND dependence in 2+ ADLs. These apply in addition to diagnosis-specific criteria below.
  • 1FAST ≥7.1 (7A: fewer than 6 words/day)
  • 2Dependent in all ADLs
  • 3PPS <70
  • 4Secondary condition present

Charting Tips for Audit Defense

  • Quote specific words patient can still say
  • Name every ADL dependency explicitly
  • Track weight every visit with percentage calculation
  • Document secondary condition with date of occurrence

Common Documentation Mistakes

FAST 7 without the 'A' designation is insufficient
Not calculating weight loss percentage from baseline
Missing secondary condition

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Other diagnoses

DementiaCardiacPulmonaryCancerLiver