Complaint Review: Facebook -

 I am sorry that your partner was denied Hospice services. The burden of care falls to you, and I can see you are very angry with this facility. Each Hospice must follow the rules as set by CMS. I have cited that information below. Perhaps this will assist you in your quest for Hospice care. Hospice According to Title 18, Section 1861 (dd) of the Social Security Act, the term "hospice care” means the following items and services provided to a terminally ill individual by, or by others under arrangements made by, a hospice program under a written plan (for providing such care to such individual) established and periodically reviewed by the individual's attending physician and by the medical director (and by the interdisciplinary group described in paragraph (2)(B)) of the program—

(A) nursing care provided by or under the supervision of a registered professional nurse, (B) physical or occupational therapy, or speech-language pathology services, (C) medical social services under the direction of a physician, (D)(i) services of a home health aide who has successfully completed a training program approved by the Secretary and (ii) homemaker services, (E) medical supplies (including drugs and biologicals) and the use of medical appliances, while under such a plan, (F) physicians' services, (G) short-term inpatient care (including both respite care and procedures necessary for pain control and acute and chronic symptom management) in an inpatient facility meeting such conditions as the Secretary determines to be appropriate to provide such care, but such respite care may be provided only on an intermittent, non-routine, and occasional basis and may not be provided consecutively over longer than five days, (H) counseling (including dietary counseling) with respect to care of the terminally ill individual and adjustment to his death, and

(I) any other item or service which is specified in the plan and for which payment may otherwise be made under this title. The care and services described in sub-paragraphs (A) and (D) may be provided on a 24-hour, continuous basis only during periods of crisis (meeting criteria established by the Secretary) and only as necessary to maintain the terminally ill individual at home. §418.22 Certification of terminal illness. (a) Timing of certification—(1) General rule. The hospice must obtain written certification of terminal illness for each of the periods listed in §418.21, even if a single election continues in effect for an unlimited number of periods, as provided in §418.24(c). (2) Basic requirement. Except as provided in paragraph (a)(3) of this section, the hospice must obtain the written certification before it submits a claim for payment. (3) Exceptions. (i) If the hospice cannot obtain the written certification within 2 calendar days, after a period begins, it must obtain an oral certification within 2 calendar days and the written certification before it submits a claim for payment.

(ii) Certifications may be completed no more than 15 calendar days prior to the effective date of election. (iii) Recertifications may be completed no more than 15 calendar days prior to the start of the subsequent benefit period. (4) Face-to-face encounter. (i) As of January 1, 2011, a hospice physician or hospice nurse practitioner must have a face-to-face encounter with each hospice patient whose total stay across all hospices is anticipated to reach the 3rd benefit period. The face-to-face encounter must occur prior to, but no more than 30 calendar days prior to, the 3rd benefit period recertification, and every benefit period recertification thereafter, to gather clinical findings to determine continued eligibility for hospice care. (ii) During a Public Health Emergency, as defined in §400.200 of this chapter, if the face-to-face encounter conducted by a hospice physician or hospice nurse practitioner is for the sole purpose of hospice recertification, such encounter may occur via a telecommunications technology and is considered an administrative expense.

Telecommunications technology means the use of interactive multimedia communications equipment that includes, at a minimum, the use of audio and video equipment permitting two-way, real-time interactive communication between the patient and the distant site hospice physician or hospice nurse practitioner. (b) Content of certification. Certification will be based on the physician's or medical director's clinical judgment regarding the normal course of the individual's illness. The certification must conform to the following requirements: (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 medical prognosis must accompany the certification and must be filed in the medical record with the written certification as set forth in paragraph (d)(2) of this section. Initially, the clinical information may be provided verbally, and must be documented in the medical 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 certification and recertification forms, or as an addendum to the certification and recertification forms. (i) If the narrative is part of the certification or recertification form, then the narrative must be located immediately prior to the physician's signature. (ii) If the narrative exists as an addendum to the certification or recertification form, in addition to the physician'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 examination of the patient.

(iv) The narrative must reflect the patient's individual clinical circumstances 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 clinical findings of the face-to-face encounter support a life expectancy of 6 months or less. (4) The physician or nurse practitioner 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 patient, including the date of that visit. The attestation of the nurse practitioner or a non-certifying hospice physician shall state that the clinical findings of that visit were provided to the certifying physician for use in determining continued eligibility for hospice care. (5) All certifications and recertifications must be signed and dated by the physician(s), and must include the benefit period dates to which the certification or recertification applies. (c) Sources of certification. (1) For the initial 90-day period, the hospice must obtain written certification statements (and oral certification statements if required under paragraph (a)(3) of this section) from— (i) The medical director of the hospice or the physician member of the hospice interdisciplinary group; and (ii) The individual's attending physician, if the individual has an attending physician. The attending physician must meet the definition of physician specified in §410.20 of this sub-chapter. (2) For subsequent periods, the only requirement is certification by one of the physicians listed in paragraph (c)(1)(i) of this section. (d) Maintenance of records.

Hospice staff must— (1) Make an appropriate entry in the patient's medical record as soon as they receive an oral certification; and (2) File written certifications in the medical record. [55 FR 50834, Dec. 11, 1990, as amended at 57 FR 36017, Aug. 12, 1992; 70 FR 45144, Aug. 4, 2005; 70 FR 70547, Nov. 22, 2005; 74 FR 39413, Aug. 6, 2009; 75 FR 70463, Nov. 17, 2010; 76 FR 47331, Aug. 4, 2011; 85 FR 19289, Apr. 6, 2020] §418.25 Admission to hospice care. (a) The hospice admits a patient only on the recommendation of the medical director in consultation with, or with input from, the patient's attending physician (if any). (b) In reaching a decision to certify that the patient is terminally ill, the hospice medical director must consider at least the following information: (1) Diagnosis of the terminal condition of the patient. (2) Other health conditions, whether related or unrelated to the terminal condition. (3) Current clinically relevant information supporting all diagnoses. [70 FR 70547, Nov. 22, 2005] https://ecfr.io/Title-42/pt42.3.418#se42.3.418_122

The phenix city police should not have gone against me and my mother and sided with ashley Hawthorne.  Because she and chaz were the ones screaming violently at my mother and ashley hawthorne came running toward my mother trying to hit her. Ashley and chaz hawthorne were the ones using PROVANITY and calling my mother the B**** word to the top of their lings. They should have been charged with disorderly conduct. Its still an outrage that the police sided with the hawthornes even though ashley hawthorne told my mother why don't she take her mentally retarded son back in her home.

Like she owned our home and property. And while other neighbors had gotten fined $400 for their dogs not being contained in their yard. She bragged about not having to pay fines for not having their dog on a leash and roaming around the neighborhood. While the animal control was picking up other neighbor dogs. 

But the police are the cause of me being assaulted by my other neighbor who lives next to ashley and chaz hawthorne are in cahoots with each other. And this is why the other neighbors are "BRAVE" because they think that they have some type of POWER over our lives. They don't! The phenix city police department is a real shady police department.

I have no problems speaking out against injustices and unfairness. Not all people are treated equally under the law. Especially in phenix city al. Where the law people are a bunch of garbage sewer rats.  Because they have the power they can act like sewer rats.

Facebook is a bunch of crazed psychopaths who run facebook. To think the rules should only apply to me and let everyone else on facebook say what they please. But facebook picks on me for some reason and removes my comments and bans me for 30 days from posting.  They want to put me in timeout in other words. While they let the crazy bullies have their way. Fartbook is nothing but a bunch of n**i commie thugs to treat people like this. Being unfair to you while letting a certain group of people post what they feel like.

Well, fartbook is full of it!  Facebook is so out of control. But they have brought their troubles on themselves. For being unfair to the victims of bullying.

Apparently to facebook its illegal for me to call refer white people as white trash. Well, the people at facebook are being trash themselves treating me unfairly like this. They don't have a right to be unfair to me and let other people say what they please.  Fartbook is so full of it!

Facebook always comes back and says that the other bullies on facebook said doesn't violate their community guidelines doesn't contain hate speech. But apparently what I say is hate speech. Facebook is full of crap.  They are just picking on me and I told them so in my reply when they stood by their decision about removing my comment and keeping me from posting for 30 days.

All I put in my comment was "WHITE TRASH" how is this consider hate speech.  I have been banned 3 times in 5 months of this year. They are white trash when they treat people like this. Companies start acting like this when they become too big they start throwing their weight around.  Fartbook needs to go count something!

Facebook is full of crap to think what I have posted is hate speech and does absolutely nothing to the bullies who have said mean and cruel things. But does something to me to satisfy the bullies that they got their way. Facebook is scum. Oh so black people can record white people but whites can't record them.  They are so full of it.

Facebook is just picking on me because of who I am! WHICH I AM PROUD OF WHO I AM!

Facebook is OVERALLY SENSITIVE! 

Is that you?? Sure sounds like you always playing the VICTIM!