The Amity Group

The Amity Group The Amity Group is working to make a difference in hospice care in the U.S.

The Amity Group is a professional staffing firm that provides hospice agencies with flexible staffing solutions and versatility for hospice nurses.

Manageable caseloads are not just about nurse satisfaction. They are about financial stability.When your clinicians carr...
03/02/2026

Manageable caseloads are not just about nurse satisfaction. They are about financial stability.
When your clinicians carry appropriate caseloads, you lower your cost per patient day. You reduce expensive after-hours visits that stem from delayed symptom management. You decrease avoidable live discharges that destabilize revenue and trigger scrutiny.
But the impact goes even deeper:
• Stronger documentation because nurses have time to think, assess, and paint the full clinical picture, reducing clawback risk during audits
• Higher quality scores as patients and caregivers experience more consistent, attentive care
• Earlier identification of patients approaching end of life, increasing appropriate SIA visits and protecting revenue
• Reduced costly staff turnover because overwhelmed nurses are not walking out the door
Sustainable hospice growth requires intention. It requires balance. And it requires the right infrastructure.
Partnering with The Amity Group allows agencies to maintain manageable caseloads without the long-term payroll burden, benefit overhead, or administrative strain of over-hiring. Our hospice-only clinicians step in strategically to stabilize workload, protect quality, and support growth in a way that is financially responsible.
Growth is not just census. Growth is sustainability.
If you would like to talk through how Amity can support your agency’s staffing and regulatory strength, I welcome the conversation.
www.AmityStaffing.com




03/02/2026

Tips for Hospice Nurses: documenting stable findings. We work really hard to get our patients comfortable and stable, but once we do we then struggle with how to document to continue to support eligibility.

One technique you can focus on is to document what the patient cannot not do vs what they can do.

Below is an example of how to take a note that does not support eligibility and restate it so that it does.
Does Not Support Eligibility: “Patient ambulatory, eating 100% of 3 meals daily and on room air”

Restated focusing on what the patient cannot do - Supports eligibility: “Due to progressively worsening weakness, patient is unable to ambulate down the 4 steps on his porch. Patient is unable to obtain, prepare or clean-up meals - he is eating 100% of 3 meals daily, but remains totally dependent on others to meet his nutritional needs. Supplemental oxygen is available and utilized at 2L per n/c for periods of dyspnea.”

If you need more help with negative documentation techniques and phrases, check out my Hospice Documentation books on my website: www.Amitystaffing.com

Or, for even more support Get DAHN, my Documentation App for Hospice Nurse. www.getdahn.com

Be safe out there … I love you guys! ❤️

charting hospicenurse hospicenotes eligibility support

03/02/2026

Tips for Hospice Nurses: documenting stable findings. We work really hard to get our patients comfortable and stable, but once we do we then struggle with how to document to continue to support eligibility.

One technique you can focus on is to document what the patient cannot not do vs what they can do.

Below is an example of how to take a note that does not support eligibility and restate it so that it does.
Does Not Support Eligibility: “Patient ambulatory, eating 100% of 3 meals daily and on room air”

Restated focusing on what the patient cannot do - Supports eligibility: “Due to progressively worsening weakness, patient is unable to ambulate down the 4 steps on his porch. Patient is unable to obtain, prepare or clean-up meals - he is eating 100% of 3 meals daily, but remains totally dependent on others to meet his nutritional needs. Supplemental oxygen is available and utilized at 2L per n/c for periods of dyspnea.”

If you need more help with negative documentation techniques and phrases, check out my Hospice Documentation books on my website: www.Amitystaffing.com

Or, for even more support Get DAHN, my Documentation App for Hospice Nurse. www.getdahn.com

Be safe out there … I love you guys! ❤️

03/01/2026

Tips for Hospice Nurses: documenting stable findings. We work really hard to get our patients comfortable and stable, but once we do we then struggle with how to document to continue to support eligibility.

One technique you can focus on is to document what the patient cannot not do vs what they can do.

Below is an example of how to take a note that does not support eligibility and restate it so that it does.
Does Not Support Eligibility: “Patient ambulatory, eating 100% of 3 meals daily and on room air”

Restated focusing on what the patient cannot do - Supports eligibility: “Due to progressively worsening weakness, patient is unable to ambulate down the 4 steps on his porch. Patient is unable to obtain, prepare or clean-up meals - he is eating 100% of 3 meals daily, but remains totally dependent on others to meet his nutritional needs. Supplemental oxygen is available and utilized at 2L per n/c for periods of dyspnea.”

To save me time, I have each of these phrases saved as a shortcut on my tablet, so I tap in 3 letters and it pops the phrase in.

If you need more help with negative documentation techniques and phrases, check out my Hospice Documentation books on my website: www.Amitystaffing.com

Or, for even more support Get DAHN, my Documentation App for Hospice Nurse. www.getdahn.com

Be safe out there … I love you guys! ❤️

charting hospicenurse hospicenotes eligibility support

03/01/2026

Tips for Hospice Nurses: documenting stable findings. We work really hard to get our patients comfortable and stable, but once we do we then struggle with how to document to continue to support eligibility.

One technique you can focus on is to document what the patient cannot not do vs what they can do.

Below is an example of how to take a note that does not support eligibility and restate it so that it does.
Does Not Support Eligibility: “Patient ambulatory, eating 100% of 3 meals daily and on room air”

Restated focusing on what the patient cannot do - Supports eligibility: “Due to progressively worsening weakness, patient is unable to ambulate down the 4 steps on his porch. Patient is unable to obtain, prepare or clean-up meals - he is eating 100% of 3 meals daily, but remains totally dependent on others to meet his nutritional needs. Supplemental oxygen is available and utilized at 2L per n/c for periods of dyspnea.”

To save me time, I have each of these phrases saved as a shortcut on my tablet, so I tap in 3 letters and it pops the phrase in.

If you need more help with negative documentation techniques and phrases, check out my Hospice Documentation books on my website: www.Amitystaffing.com

Or, for even more support Get DAHN, my Documentation App for Hospice Nurse. www.getdahn.com

Be safe out there … I love you guys! ❤️

02/28/2026

DAHN is not artificial intelligence.
It’s expert intelligence, built from real hospice experience and housed in a HIPAA-compliant app for hospice nurses.

You’re not generating canned, generic notes.
You’re using my carefully written phrases to quickly build your own beautifully worded notes that clearly support eligibility.

In this video, I’m showing how to use the eligibility boosters, but there are many other ways to use DAHN. I’ll be sharing more videos on that soon.

Learn more at getdahn.com.

02/28/2026

DAHN is not artificial intelligence.
It’s expert intelligence, built from real hospice experience and housed in a HIPAA-compliant app for hospice nurses.

You’re not generating canned, generic notes.
You’re using my carefully written phrases to quickly build your own beautifully worded notes that clearly support eligibility.

In this video, I’m showing how to use the eligibility boosters, but there are many other ways to use DAHN. I’ll be sharing more videos on that soon.

Learn more at getdahn.com.

02/27/2026

Is Your Hospice Agency Losing CAP Money?
This is one of the most confusing areas in hospice finance. I see leaders, clinicians, and even seasoned operators misunderstand it, not because it is impossible to understand, but because the way it is often explained makes it feel far more complicated than it really is.
The purpose of the cap is balance. Medicare wants to ensure hospices do not only admit long length of stay patients while avoiding shorter stay patients that may cost more upfront. The cap encourages a healthy mix of patients so that the Medicare Hospice Benefit remains financially sustainable.
The cap year runs from October 1 through September 30. Each year on October 1, Medicare establishes a new per beneficiary cap amount. For FY 2026, the aggregate cap amount is $35,361.44 per Medicare beneficiary.
Think of the cap as your financial bucket.
For every Medicare beneficiary you serve who is eligible to be counted in your cap calculation, that cap amount is multiplied and added to your total allowable cap for the year.
If you admit ten brand new Medicare hospice patients, that is roughly $353,614.40 added to your cap bucket. If you admit twenty, that amount doubles.
Your total Medicare payments for services provided during that cap year are then compared to that allowable total. If your payments exceed your calculated cap, Medicare requires repayment of the overage. Just because Medicare pays the claims throughout the year does not mean you automatically keep all of it. The reconciliation happens after the cap year closes.
Length of stay mix matters. Long stay patients generate daily payments over many months. Short stay patients generate far less billing, but they still increase your allowable cap total. That balance is essential.
There are also proportional considerations. If a patient enrolls late in the cap year, the cap calculation follows the portion of care provided during that cap year and then rolls into the next. If a patient transfers between hospices, the cap amount is proportionally allocated based on days served by each hospice. If a transferring patient has already exhausted their cap allocation elsewhere, there may be little or no cap benefit added for your agency. That is why understanding transfer history is critical.
This is not just about census growth. It is about thoughtful, strategic growth. A simple tracking spreadsheet can make a tremendous difference.
It also requires collaboration with your marketing team. Strategic referral development from both long & short LOS areas.
At The Amity Group, we work with hospice agencies every day to strengthen financial awareness, compliance, documentation, staffing, and operational strategy.

Reach out today to learn more.

www.amitystaffing.com

02/26/2026

Tip for Hospice Nurses: writing IDT notes on patients whose symptoms you have well managed so they are not experiencing a lot of change or decline over the 14 days:
1. Each IDT highlight one system assessment that supports eligibility
2. Never document pt stable, no issues, or no problems, etc.
3. Document the treatments being provided for the hospice dx.
4. Document that on-going monitoring and clinical support is required to ensure symptoms remain well managed.
**If the pt has refused Social Worker and/or Chaplain visits, the RN must address psychosocial and spiritual needs in their note.

For more examples, check out my Hospice Documentation Books located on the products page of my website: www.amitystaffing.com/products

Ya’ll be safe out there! I love you guys … xoxo ~ Shelley 💕

02/26/2026

Tip for Hospice Nurses: writing IDT notes on patients whose symptoms you have well managed so they are not experiencing a lot of change or decline over the 14 days:
1. Each IDT highlight one system assessment that supports eligibility
2. Never document pt stable, no issues, or no problems, etc.
3. Document the treatments being provided for the hospice dx.
4. Document that on-going monitoring and clinical support is required to ensure symptoms remain well managed.
**If the pt has refused Social Worker and/or Chaplain visits, the RN must address psychosocial and spiritual needs in their note.

For more examples, check out my Hospice Documentation Books located on the products page of my website: www.amitystaffing.com/products

Ya’ll be safe out there! I love you guys … xoxo ~ Shelley 💕

Address

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70508

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