One Standard. Every Role. Referral Through Admission.
From the first referral call to the signed plan of care, every nurse, social worker, aide, chaplain, account executive, intake coordinator, and administrator works from the same regulatory foundation. This is the Spartan Coaching standard for how hospice teams operate together under the Medicare Conditions of Participation.
Key Compliance Timelines: Tap Any to Expand
Training Modules
Six modules built directly from primary regulatory authorities, covering every member of the hospice team.
Program Overview
The regulatory architecture every hospice team member must understand: Subparts B, C, and D of 42 CFR Part 418, Medicare manuals, and how they interlock to define everyone's role in the compliance framework.
- 42 CFR Part 418 structure
- Primary authorities map
- Operational hard stops
- QSO-23-08 survey focus
Eligibility & Certification
The 6-month prognosis standard, benefit period structure, certification timing, oral exception logic, narrative requirements, and face-to-face obligations: what intake, nursing, account executives, and physicians each own at every stage.
- 6-month prognosis standard
- Benefit periods 90/90/60
- Who certifies per period
- F2F attestation requirements
Election & NOE
Required election statement elements, post-Oct 2020 disclosures, effective date logic, addendum rules, and the financial consequences of late NOE filing. A shared responsibility between intake, admissions, account executives, and billing.
- Required statement elements
- Effective date rules
- Addendum obligations
- 5-day NOE window
Assessment & Care Planning
RN initial assessment within 48 hours, IDG comprehensive assessment within 5 days, required domains, plan-of-care development, and the 15-day review cadence. The clinical team's shared timeline from day one.
- 48-hour RN assessment
- 5-day IDG comprehensive
- Required assessment domains
- 15-day review cadence
Survey Citations
High-frequency front-end CoP tags, what surveyors look for, deficiency mechanisms behind each citation, and the process controls every team member can apply to prevent repeat findings.
- 418.52 Patient Rights tags
- L522 / L523 assessment tags
- 418.56 IDG/POC citations
- Payment denial patterns
Referral-to-Admission Workflow
A role-mapped operational workflow that aligns every step from intake triage, clinical screening, election execution, and IDG plan-of-care to a Medicare requirement, so every discipline knows exactly where they hand off and what they own.
- Intake triage classification
- Admission recommendation gate
- Election & NOE execution
- IDG assessment & POC
Printable Checklists
Five role-specific forms with checkbox fields, write-in lines, and regulatory citations - ready to print and use at the point of care.
Educational Use Only. This resource translates primary federal regulatory authorities into plain-language education. It is not legal advice. State-specific requirements, payer contracts, and scope-of-practice rules can add obligations beyond the Medicare federal baseline. Always verify against current primary sources before making compliance decisions.