Billing for hospice is not general billing with a different code set. Per-diem levels of care rather than per-service billing, with the level driven by documented patient need each day.
Election of the hospice benefit revokes standard coverage for the terminal condition, so anything billed outside it is scrutinised.
At a glance
What drives the coding
Per-diem levels of care rather than per-service billing, with the level driven by documented patient need each day.
What drives the payer behavior
Election of the hospice benefit revokes standard coverage for the terminal condition, so anything billed outside it is scrutinised.
Coding
Assigned by certified coders from your documentation.
Reporting
Denials segmented by reason, payer, and provider.
Where hospice claims actually fail
- Level of care not supported by the daily record
- Services billed outside the hospice benefit
- Face-to-face recertification encounter missing
How we work it
We code from what your record documents and query you when it does not support a code, which in hospice is where most of the avoidable exposure sits.
Denials are worked by cause rather than in queue order, so the same failure stops recurring instead of being re-worked every month.
We work the claims. You practice medicine.
Coding, claim submission, denial management, and A/R follow-up — with nothing left for your front desk to chase.
View pricingHow It Works
Review
We look at your current hospice denials and aging.
Scope
A written scope and price before any work starts.
Transition
Coding and submission move across without a gap.
Report
Denial causes reported monthly, segmented by payer.
Hospice Medical Billing by State
Medicare contractor, Medicaid program and managed-care structure, and no-fault rules cadence differ by state. Pick yours for a state-specific guide.
Hospice — Frequently Asked Questions
Do you have coders who know hospice?
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Yes. All coding is performed by certified coders, and specialty assignment is deliberate — per-diem levels of care rather than per-service billing, with the level driven by documented patient need each day.
Do you guarantee we will collect more?
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No, and nobody honestly can. Payment is decided by the payer. What we commit to is the process and the six numbers we report, which you can check against your own system.
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