Content of certification Sample Clauses

Content of certification. The Contractor’s certification shall attest, based on best knowledge, information, and belief, to the accuracy, completeness and truthfulness of the information and/or data.

Content of certification. Certifi- cation will be based on the physician’s or medical director’s clinical judgment regarding the normal course of the in- dividual’s illness. The certification must conform to the following require- ments: (1) The certification must specify that the individual’s prognosis is for a life expectancy of 6 months or less if the terminal illness runs its normal course. (2) Clinical information and other documentation that support the med- ical prognosis must accompany the cer- tification and must be filed in the med- ical record with the written certifi- cation as set forth in paragraph (d)(2) of this section. Initially, the clinical information may be provided verbally, and must be documented in the med- ical record and included as part of the hospice’s eligibility assessment. (3) The physician must include a brief narrative explanation of the clinical findings that supports a life expectancy of 6 months or less as part of the cer- tification and recertification forms, or as an addendum to the certification and recertification forms. (i) If the narrative is part of the cer- tification or recertification form, then the narrative must be located imme- diately prior to the physician’s signa- ture. (ii) If the narrative exists as an ad- dendum to the certification or xxxxx- tification form, in addition to the phy- sician’s signature on the certification or recertification form, the physician must also sign immediately following the narrative in the addendum. (iii) The narrative shall include a statement directly above the physician signature attesting that by signing, the physician confirms that he/she composed the narrative based on his/ her review of the patient’s medical record or, if applicable, his/her exam- ination of the patient. (iv) The narrative must reflect the patient’s individual clinical cir- cumstances and cannot contain check boxes or standard language used for all patients. (v) The narrative associated with the 3rd benefit period recertification and every subsequent recertification must include an explanation of why the clin- ical findings of the face-to-face encoun- ter support a life expectancy of 6 months or less. (4) The physician or nurse practi- tioner who performs the face-to-face encounter with the patient described in paragraph (a)(4) of this section must attest in writing that he or she had a face-to-face encounter with the pa- tient, including the date of that visit. The attestation of the nurse practi- tioner or a non-certifying h...