● Hospice Revenue Cycle Specialists

Hospice Billing Services for Per Diem and Level of Care Claims

Claim Click Solutions manages routine, continuous, and inpatient level of care coding for hospice providers, protecting revenue at every stage of care.

Trusted by urgent care centers and multi-site groups.

100%

Clean claim rate

● The Cost of Billing Errors

Where traditional medical billers fail hospice agencies

Hospice rules are unlike any other medical specialty. A single missed deadline can permanently erase reimbursement.

Late NOE Submissions

Failing to submit Notice of Election within 5 calendar days forces non-covered days that Medicare will never reimburse.

Incorrect Level of Care (LOC)

Mis-billing Routine Home Care vs. Continuous, Respite, or General Inpatient Care triggers major compliance audits and payment delays.

Unmonitored Medicare Caps

Failing to track Inpatient and Aggregate Cap thresholds in real time leads to catastrophic end-of-year payback demands from CMS.

ADR & CERT Audit Traps

Additional Documentation Requests (ADRs) get bogged down when non-specialized billers fail to submit complete clinical records on time.

Benefit Period Errors

Missed recertification dates and incorrect benefit periods (90/90/60) result in immediate claim rejections and payment freezes.

Physician Billing Confusion

Misusing Attending Physician vs. Hospice Medical Director modifiers (GV/GW) causes unnecessary claim denials and administrative friction.

● How We Fix It

Dedicated hospice billing experts who protect your compliance and cash flow

We bring specialized Medicare, Medicaid, and commercial hospice RCM expertise to your agency, taking administrative burdens off your clinical team.

✓

Rapid 5-Day NOE Filing Protocol

Guaranteed Notice of Election filings within 24–48 hours of admission to completely eliminate penalty days.

✓

Continuous Medicare Cap Monitoring

Proactive tracking of Inpatient and Aggregate Cap utilization so your agency is never surprised by year-end CMS clawbacks.

✓

Turnkey ADR Audit Management

Full chart compilation, clinical record scrubbing, and timely submission for Medicare Additional Documentation Requests.

✓

Seamless EMR & Software Integration

Direct compatibility with Homecare Homebase, MatrixCare, Kantime, WellSky, and all major hospice EMRs.

● Full-Service Hospice RCM

End-to-end hospice revenue cycle management

We handle every step of the hospice billing process so your clinical staff can focus entirely on compassionate patient care.

NOE & NOTR Submissions

Rapid processing and electronic filing of Notice of Election (NOE) and Notice of Termination/Revocation (NOTR) within statutory limits.

Level of Care Billing

Accurate coding and billing for Routine Home Care, Continuous Home Care, Inpatient Respite, and General Inpatient (GIP) Care.

Benefit Period Management

Rigorous tracking of initial 90-day benefit periods, subsequent 90-day periods, and 60-day extension recertifications.

Physician Billing & Modifiers

Correct application of GV and GW modifiers for attending physicians and hospice medical director service billing.

ADR & Denial Appeals

Proactive handling of Additional Documentation Requests (ADRs), CERT audits, and multi-level denial appeals.

Medicare Cap Reporting

Real-time calculation and monthly tracking of both Aggregate Cap and Inpatient Cap allocations.

● Hospice Specialty Expertise

Mastery of every level of care and regulatory requirement

We ensure your billing matches Medicare, Medicaid, and private insurance mandates without costly oversight.

REV CODE 0651

Routine Home Care (RHC)

Managing high/low rate tier adjustments based on the 60-day threshold and Service Intensity Add-on (SIA) payments.

REV CODE 0652

Continuous Home Care (CHC)

Precise hourly tracking and documentation verification for crisis care billing to prevent audit recoupments.

REV CODE 0655

Inpatient Respite Care

Managing 5-day limit rules, contracted facility invoicing, and respite benefit tracking seamlessly.

REV CODE 0656

General Inpatient Care (GIP)

Audit-proof GIP documentation review, facility contract alignment, and discharge billing workflows.

● Why Hospices Choose Us

What changes when Claim Click Solutions manages your hospice RCM

01

Zero NOE Penalty Days

Rigorous SLA guarantees your NOEs are filed well within the 5-day CMS window.

02

Full Cap Protection

Proactive tracking prevents end-of-year Medicare Cap clawbacks and financial surprises.

03

Audit Defense Team

Dedicated clinical chart reviewers handle ADRs to protect collected revenue.

04

EMR Software Masters

Deep operational expertise across Homecare Homebase, Kantime, WellSky, and MatrixCare.

● Measurable Results

The impact of specialized hospice billing

No learning curve, no generic templates — just billers who already know the codes your center uses every single shift.

0 %

Late NOE Penalties

Achieved across 100% of our managed hospice client accounts nationwide.

+ 0 %

Accelerated Cash Flow

Reduction in Days in AR due to cleaner first-pass claim submission rates.

0 %

ADR Pass Rate

Our dedicated audit review team ensures clinical records pass payer scrutiny.

● Case Study

How a 120-census hospice recovered $620K in stalled revenue and eliminated NOE penalties

A growing hospice agency faced mounting cash flow challenges caused by delayed NOE submissions, incomplete CTI documentation, and unworked ADR denials. We reorganized their intake billing workflow, established daily clinical chart reviews, and successfully appealed 94% of denied claims.

AR recovered

$ 0 k

Late NOE penalties

0

Avg reimbursement speed

0 Days

● Common Questions

Hospice billing FAQ

What happens if a Notice of Election (NOE) is filed after 5 calendar days?

If an NOE is filed late without a Medicare-approved exception (such as MAC system outages or fires), Medicare will not pay for any days between the admission date and the actual NOE submission date. These non-covered days cannot be billed to the patient. Our system guarantees timely filing within 24–48 hours to prevent this loss entirely.

How do you help our agency monitor the Medicare Inpatient and Aggregate Caps?

We track patient admissions, lengths of stay, and total payments continuously throughout the cap year (Oct 1 – Sept 30). Our dashboards calculate your proximity to both Aggregate and Inpatient Cap limits monthly so you can adjust operational strategies long before penalties occur.

Which hospice EMR systems do you integrate with?

We work seamlessly with all leading hospice electronic medical records, including Homecare Homebase (HCHB), Kantime, WellSky (Consolidated), MatrixCare, Delta Health, and NetSmart.

How do you manage Additional Documentation Requests (ADRs) and audits?

Upon receiving an ADR notice, our hospice audit team coordinates with your clinical staff to assemble the complete medical chart—including Certificates of Terminal Illness (CTI), face-to-face documentation, interdisciplinary group (IDG) notes, and nurse visit logs—ensuring an audit-ready response is filed well before the deadline.

Can you handle physician billing with GV and GW modifiers?

Yes. We ensure correct modifier selection when billing attending physicians not employed by the hospice (GV) or services unrelated to the terminal diagnosis (GW) to prevent improper rejections.

● Free Hospice Audit

Protect your hospice revenue and ensure 100% NOE compliance

We will review a sample of your recent hospice claims, NOE filing speeds, and ADR status to uncover revenue opportunities — completely free with no obligation.