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To illustrate, not including usually applied adjustments to the data for case mix and mode of survey administration, if Hospice A received a bottom-box score of 100 on the Overall Rating of this Hospice, that means that all the survey respondents responded to the question and gave the hospice an overall rating of zero to six, the least positive possible responses (middle-box options: 7-8

However, longer isn't always better

Sci Rep 15 , 9438 (2025)

An ophthalmological examination was conducted, excluding the presence of Kayser-Fleischer rings

Providers still need to document a medically appropriate history and exam, but those elements no longer drive the code level

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