01
Eligibility and CTI documentation review
Pre-cert and re-cert documentation review aligned to surveyor expectations.
Industry · Hospice
Per-diem reimbursement with the eligibility discipline it requires.
Hospice operations live and die by eligibility documentation, level-of-care accuracy, and cap management. The financial model is straightforward; the operational requirements behind it are not.
Operational pain
Where the operation breaks down.
01
Eligibility and recertification documentation
Face-to-face encounter timing, narrative quality, and IDG compliance under constant scrutiny.
02
Level of care and GIP billing
Routine, GIP, respite, and continuous care requiring distinct documentation and billing rules.
03
Hospice cap exposure
Cap calculations and patient mix monitoring with limited operational visibility.
Reimbursement complexity
The payer landscape, plainly.
Per-diem rates, NOE/NOTR timing penalties, sequential billing rules, and cap management make hospice billing one of the least forgiving environments in post-acute care.
Staffing reality
You cannot hire your way through this.
We supply hospice-specialized billing and compliance staff who understand IDG cycles and CTI requirements, not general healthcare billers.
How we support hospice operations
What an engagement actually delivers.
02
Level-of-care billing accuracy
Daily reconciliation of LOC changes to billing.
03
Cap monitoring and reporting
Monthly cap exposure reporting at the agency and ownership level.
Operational outcomes
What stabilization looks like for hospice.
Outcomes vary by baseline and segment. The numbers below are representative of mature hospice engagements after six months.
Discuss Hospice OperationsHospice Engagement Benchmarks
Days in A/R
34Median, post-stabilization
Clean-Claim Rate
96%First-pass acceptance
Denial Overturn
88%Inside the appeal window
Aggregate engagement performance. Individual results vary by segment and baseline.
Other segments we serve
Ready to stabilize your revenue operations?
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Confidential Operational Reviews · Post-Acute Specialists Only