The compliance workspace for hospice · by invitation

Hours of chart work, done in minutes. Every line cited.

Jubal med reads the referral packet and builds the patient, reads the whole chart and drafts the relatedness worksheet, and turns that into the addendum your hospice signs — the reading, listing and re-keying your team does by hand today. They review instead of retyping. And because every claim carries a pinned citation and a verbatim quote, the time you save holds up in a survey.

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A surveyor cited us under a condition of participation. What does the text actually require?
The authority stack3 sources · quoted verbatim
Statute
42 U.S.C. § 1395x(dd)

The statutory authority for everything below.

Regulation
42 C.F.R. § 418.56

Condition of participation: interdisciplinary group, care planning, and coordination of services.

Survey guidancenot binding law
CMS SOM App. M, Tag L536 · pp. 96–97

What surveyors are told to check for §418.56 compliance.

When the controlling authority isn’t on file, it says so plainly and logs the gap — it never fabricates a cite.

On file
42 C.F.R. §§ 416 · 418 · 460 · 482 · 483 · 484 · 485 · 49445 C.F.R. §§ 160 · 16442 U.S.C. §§ 1395 · 1396CMS SOM App. M21 C.F.R.28 states · CO regulations
Where the time goes

Your team reviews. It stops retyping.

The work below is the part of a compliance seat that is reading, listing and re-keying. Jubal med does that part and hands you a draft to check.

Admission

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 pre-filled, and it asks only about what the documents could not answer.

4 documents → 25 fields · ~2 min

Relatedness

Read the whole chart, list every diagnosis, medication and supply, reason each one, and type the worksheet.

It reads every record and proposes each call with its rationale and chart cite. Your interdisciplinary group reviews, changes what it disagrees with, and signs.

The addendum

Retype the unrelated items into the election statement addendum and check the form against the rule.

Built from the finalized worksheet, with the form's anatomy enforced and a second model auditing the draft.

Deadlines

A spreadsheet of election dates, NOE windows, recertifications and HOPE visits, kept current by whoever remembers.

Every clock runs from the election date, and each patient leads with the one that is due next.

A regulatory question

Search the eCFR and the State Operations Manual, find the current text, and copy the quote.

Ask it the way you would ask a colleague. The answer comes back with the statute, the regulation and the guidance quoted verbatim.

a cited answer · ~1 min

Timings are from our own runs on a fictional four-document chart. Yours will vary with the size of the record.

The workspace

One place for the patient, the clocks, and the paper.

On the web and as a signed desktop app for Mac and Windows. Every screen below is the real product, shown on a fictional patient.

Jubal med
A patient page in Jubal med: the compliance card with the Notice of Election, certification, relatedness worksheet, addendum and HOPE clocks, beside the patient's records and documents.
The patient page. Compliance clocks run from the election date; records, chats and finished documents sit beside them.
Jubal med
New-patient intake in Jubal med reading four uploaded referral documents and pre-filling the form.
Intake reads the referral packet and pre-fills the patient. It names the document it is reading and asks when the chart is silent.
Jubal med
A relatedness worksheet in Jubal med with each diagnosis marked related or unrelated, its rationale, and the HOPE Section I item.
The relatedness worksheet, with the HOPE Section I item beside each diagnosis. The addendum is built from it.
What it does

A working tool for the compliance seat.

01
Admit

Drop the referral packet — face sheet, H&P, medication list, intake notes. Jubal med reads every page and pre-fills the patient: demographics, terminal diagnosis, physicians, contacts. You type only what the documents could not answer, and it asks rather than guesses.

referral → patient · minutes, not re-keying
02
Track

The census carries every regulatory clock from the election date: Notice of Election, the election statement addendum, recertification, face-to-face, and the HOPE assessment windows. Each patient leads with the one deadline that matters next.

NOE · addendum · recert · F2F · HOPE
03
Determine

The relatedness worksheet reads the whole chart and proposes related, unrelated or physician-review for every diagnosis, medication and supply — each with its rationale, its chart cite, and the HOPE Section I item beside it. Your interdisciplinary group decides; nothing ships unreviewed.

42 C.F.R. § 418.24 · ICD-10 · HOPE Section I
04
Draft

The statutory documents, built from the record: the election statement addendum, the certification of terminal illness, the NOE worksheet. Form anatomy is enforced in code, and a second model from a different vendor audits every draft before you see it.

addendum · CTI · NOE · .docx and PDF
05
Ask

Every question a compliance seat actually has — documentation duties, patient rights, SNF shared-patient rules, HIPAA calls — answered with the full authority stack, quoted verbatim and dated. It never guesses a cite.

statute → regulation → survey guidance
How it works

It reads the law before it cites it.

1

Speaks surveyor, listens operator

You ask the way you'd ask a colleague. Jubal med reformulates into the corpus's terms of art and runs several probes.

"restraint or seclusion" · "resident rights"
2

Reads before it cites

Candidate sections are read in full, with provenance — source, version, retrieval time — pulled for anything that will be cited.

ecfr.gov · point-in-time · content hash
3

Answers with the stack

Statute, regulation, and survey guidance together, each quoted verbatim and dated. Guidance is always badged non-binding.

statute → regulation → guidance
On file

The authorities that govern you, point-in-time aware.

Citations only ever come from text retrieved on demand from this corpus. Questions it can’t ground are answered “not on file” — and every miss is logged, so coverage grows where operators need it most.

42 C.F.R.

Conditions of participation across nine settings — hospice (418), hospitals (482), long-term care (483), home health (484), ASCs (416), dialysis (494), critical access (485), PACE (460)

45 C.F.R.

HIPAA privacy and security (Parts 160, 164)

21 C.F.R.

FDA regulations

42 U.S.C.

Social Security Act statutes (§§ 1395, 1396 families)

CMS SOM

State Operations Manual incl. Appendix M hospice survey procedures — served as guidance, never as law

State law

28 states' statutes; Colorado also includes regulations — CDPHE facility standards (6 CCR 1011-1) and Medicaid rules (10 CCR 2505-10)

How we verify

Every cite comes with its receipt.

Jubal med doesn’t carry the law inside it. It queries binding.law, our separately maintained corpus of statutes, regulations and agency guidance, and every retrieved section arrives with the source it came from, when it was pulled, a content hash, and the dates it was in force. An invented citation has none of those — which is what makes fabrication structurally unavailable rather than merely discouraged.

sourceUrl
ecfr.gov · the official publisher
retrievedAt
2026-07-22 18:42 UTC
contentHash
4e770e60… tamper-evident
validFrom / validTo
2024-01-01 → current
How verification works →
The line it never crosses

It answers regulatory questions. It does not practice medicine.

Built — not just instructed — to refuse clinical judgment. Every question lands in one of three tiers.

Tier 1
No patient involved

Answers fully, with pinned citations.

Tier 2
Patient facts as context

Cites what must be done and documented — never a judgment about the patient.

Tier 3
Patient as the subject

Declines. Eligibility and prognosis belong to the treating clinician; Jubal med cites the process and documentation requirements instead.

From the makers of jubal.law

The same citation discipline lawyers use, aimed at your regulations.

Jubal med is the healthcare sibling of jubal.law, built alongside working hospice operators — starting from the real disputes that cost their teams hours.

Bring a referral packet, or your hardest surveyor question.

By invitation, and your first 14 days are complimentary. When someone tells you what the rules say, Jubal med shows you what the rules actually require.