White Glove Medical Billing logo
Delaware · Hospice

Hospice Billing in Delaware

Per-diem levels of care rather than per-service billing, with the level driven by documented patient need each day.

Remote medical billing — monthly close, cleanup, and books ready for your practice.

Election of the hospice benefit revokes standard coverage for the terminal condition, so anything billed outside it is scrutinised. In Delaware that plays out against a specific set of rules rather than a general one.

Claims for Delaware providers are adjudicated by Novitas Solutions (JL), which is also who hears the first level of appeal — so an appeal argument that works here works in every state that contractor covers.

At a glance

Coding driver

Per-diem levels of care rather than per-service billing, with the level driven by documented patient need each day.

Medicare contractor

Novitas Solutions (JL)

Medicaid program

Diamond State Health Plan

Auto injuries

Tort state — health plan sequencing applies

What changes in Delaware

Medicaid in Delaware runs as Diamond State Health Plan and is delivered largely through commercial managed care plans, so most Medicaid claims are adjudicated by an insurer with its own filing window and its own authorization rules rather than by the state.

Where hospice claims fail

  • Level of care not supported by the daily record
  • Services billed outside the hospice benefit
  • Face-to-face recertification encounter missing

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 pricing

How It Works

1

Review

We look at your Delaware hospice denials.

2

Scope

A written scope and price before any work starts.

3

Transition

Coding and submission move across without a gap.

4

Report

Denial causes segmented by payer and provider.

Hospice Billing in Delaware — Frequently Asked Questions

Do hospice billing rules differ in Delaware?

+

Diamond State Health Plan is delivered through commercial managed care plans, each setting its own filing window and authorization rules.

Ready for books you can actually trust?

Book a free consultation and we will tell you what your revenue cycle needs and what it costs.

  • Done-for-you
  • Solo or group
  • Nationwide

Get Started

The fastest way is to call. If you prefer, you can book online below.

(409) 880-5990
or

Book Online

Share your details and preferred availability.