Every election now needs its addendum within five days.
The addendum used to be furnished on request. Now every patient gets one, built on a relatedness review of the whole chart. Jubal Med reads every record, drafts the relatedness worksheet for your IDG to sign, and builds the addendum from it, with every line cited to its record and page.
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The addendum is furnished and filed with the election statement. The clock starts when you record the election.
When a change moves a relatedness call, the addendum is updated. The next worksheet starts from the last one.
Not a blank form, and in plain language. The draft follows the rule's own list of contents.
FY 2027 Hospice Final Rule · 91 FR 49118 (Aug 3, 2026) · 42 C.F.R. § 418.24(c)–(d), as amended
The reading and the retyping, at admission and at every IDG.
At admissionRelatedness and the addendumEvery diagnosis, medication and supply, proposed related or unrelated with its rationale and chart cite. Your IDG signs; the addendum is built from it.How relatedness works →
Every meetingThe IDG meetingA brief for every patient on the meeting, written from their records since the last review, cited line by line, ready to copy into your EMR.How the IDG meeting works →Three minutes, start to finish, on a fictional patient.
Play on YouTube · 3:07Drop in the referral packet and watch the intake fill itself, the certification drafted, and the relatedness worksheet built, each row naming its source record and page.
2:35How-to · IDGRun your IDG meetingPrepare every brief in one step, walk the meeting patient by patient, then copy each brief into your EMR or print them all.
2:52How-to · IDGAdd patients to your IDG meetingSet up your IDG teams and their days, place each patient on a team, and add or skip a patient for one meeting.Videos open on YouTube. Every patient, record and organization in them is fictional.
Your team reviews. It stops retyping.
Open the face sheet, the H&P, the medication list and the intake notes, and key the patient in field by field.
Drop the packet. The patient arrives filled in, and it asks only what the documents couldn't answer.
4 documents → 25 fields · ~2 min
Read the whole chart, list every diagnosis, medication and supply, reason each one, then retype the unrelated items into the addendum within five days.
Each call proposed with its rationale and chart cite. Your IDG changes what it disagrees with and signs; the addendum is built from it.
Read every note since the last meeting for every patient, and summarize each one by hand.
Every brief prepared in one step, each line cited, ready to copy into your EMR.
A spreadsheet of election dates, NOE and addendum windows, recertifications and HOPE visits, kept by whoever remembers.
Every clock runs from the election date, and a clock that comes due adds its own task.
Search the eCFR and the State Operations Manual, find the current text, and copy the quote.
Ask it like a colleague. The statute, the regulation and the guidance come back quoted and dated.
a cited answer · ~1 min
Timings are from our own runs on a fictional chart. Yours will vary with the size of the record.
One place for the patient, the clocks and the paperwork.
On the web, and as a signed desktop app for Mac and Windows. Every screen here is the real product, shown on a fictional patient.
Every cite comes with its receipt. Clinical judgment stays with you.
It reads before it cites
Citations come only from text retrieved from our corpus of statutes, regulations and CMS guidance, each with its source, retrieval time and the dates it was in force.
42 C.F.R. · 42 U.S.C. · CMS SOM App. MYour hospice's contractor
Federal rules are the same everywhere; the Medicare contractor's LCDs are not. Forms cite only the LCDs that bind your hospice's state.
your state → your MAC → its LCDsIt doesn't practice medicine
It answers regulatory questions and drafts for your team to decide. Eligibility and prognosis belong to the treating clinician, and it says so.
Patient records are never trained on or resoldRun your next admission through it, and see the addendum on day one.
14-day free trial, no card. Every request is read and approved by a person.