By invitation · hospice & post-acute

Answers you can hand to a surveyor.

When a facility letter, a CMS-2567, or a payer denial lands on your desk, jubalMED researches the actual statutes and regulations behind it — and answers with pinned citations and verbatim quotes. It never guesses a cite.

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What must be in our plan of care, and what will surveyors check?
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 file42 C.F.R. §§ 418 · 482 · 48345 C.F.R. §§ 160 · 16442 U.S.C. §§ 1395 · 1396CMS SOM App. M21 C.F.R.Colorado CCR
What it does

A working tool for the compliance seat.

01
Ask

Every question an operator actually has — staffing, documentation duties, SNF disputes, HIPAA calls — answered with the full authority stack.

answers · cited
02
Analyze

Hand it what just landed on your desk: a facility letter, a CMS-2567, a payer denial. It researches every claim inside and shows where each one stands.

CMS-2567 · payer denial · facility letter
03
Draft

Turn research into work product — cited memos in .docx, ready to hand to a facility, a surveyor, or the other side of the dispute.

memo.docx · pinned cites
04
Watch

Your answers build a watchlist of the sections your operation relies on, so a changed rule never catches you flat-footed.

42-418.56 · watched
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. jubalMED 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.

Medicare/Medicaid conditions of participation — hospice (418), hospitals (482), long-term care (483)

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

Colorado

CCR incl. CDPHE facility standards (6 CCR 1011-1) and Medicaid rules (10 CCR 2505-10)

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 your medical director; jubalMED cites the process and documentation requirements instead.

From the makers of jubal.law

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

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

Bring your hardest surveyor question.

Invite-only, with founding rates for early members. When someone tells you what the rules say, jubalMED shows you what the rules actually require.