MedCare MSO provides vital support for end-of-life care providers through specialized hospice billing services built around how the Medicare hospice benefit is paid. From eligibility verification and daily Notice of Election (NOE) filing to sequential monthly claims, denial management, and collections across Medicare, Medicaid, and commercial payers, our certified billing team streamlines hospice revenue cycle management, ensures compliance, and protects cash flow.
Per diem rates, strict filing windows, and rising audit activity leave hospice margins little room for billing error. Outsourcing to an experienced hospice billing service has proven to increase revenue and reduce stress.
Operating a hospice demands full focus on patient care during critical moments, yet the hospice benefit adds billing challenges no other specialty faces. At MedCare MSO, our expert billing and coding team takes on the complete range of medical billing services. With in-depth knowledge of hospice coding specifics, HOPE reporting, and compliance standards, we are dedicated to increasing your revenue.
Our hospice billing experts submit clean UB-04 (CMS-1450) claims across all four levels of care, coordinate directly with your Medicare Administrative Contractor (MAC), and track every submission through acceptance, reducing Return to Provider (RTP) errors, rejections, and payment delays.
Strict filing deadlines, ever-changing Medicare guidelines, and complex coding make hospice medical billing unlike any other specialty. Below are the three challenges that drain hospice revenue most, and how MedCare MSO solves each one.
Hospice is the only specialty where claims must process in strict monthly order. The Notice of Election (NOE) must be accepted by your MAC within 5 calendar days of admission, or every day until acceptance becomes provider-liable care you cannot bill.
One claim stuck in Return to Provider (RTP) status stalls every claim behind it, freezing weeks of per diem revenue. MedCare MSO’s AR recovery services files NOEs and NOTRs daily, tracks each one to MAC acceptance, and clears claim edits quickly to keep your cash flowing.
Request DemoKeeping up with ever-evolving Medicare rules is tough. CMS payment rate updates, the aggregate hospice cap, and HOPE quality reporting under HQRP, where missed submissions cost a 4% payment cut. What was compliant last quarter can be denied today.
At MedCare MSO, our expert billing and coding team handles the complete range of hospice medical billing needs. We keep you compliant and protect revenue with in-depth knowledge of Medicare rules, MAC edits, and face-to-face (F2F) requirements.
Most specialties code an exam, a diagnosis, and a treatment. Hospice is different: claims need accurate terminal diagnosis ICD-10 codes, level-of-care revenue codes, and SIA detail, and even emotional support must be documented for reimbursement.
In such situations, expert denial management services eliminate errors and reimbursement delays. MedCare MSO provides AAPC-certified coders and billers, well-versed in the details of hospice care, so one miscoded level of care never derails your reimbursement.
Hospice billing demands specialist coverage every single day. See how practices that outsource hospice billing services to MedCare MSO compare with teams keeping billing in-house.
From the day a patient elects hospice to the day the final claim pays, MedCare MSO covers the entire hospice revenue cycle. No gaps to staff, no handoffs between vendors, just complete hospice billing solutions built for how the benefit works.
Coverage verified across Medicare, Medicaid, MA, VA, and commercial plans, with payer setup completed and every NOE tracked to MAC acceptance inside the 5-day window.
AAPC-certified coders assign terminal diagnosis and level-of-care codes, then submit scrubbed UB-04 claims in correct monthly sequence to keep RTPs from stalling revenue.
Denials worked to root cause, additional documentation requests answered completely and on time, and appeals backed by F2F and certification documentation.
835 ERAs posted and reconciled, aged A/R worked to cut days sales outstanding (DSO), and aggregate cap utilization tracked across the full cap year.
Each level of the Medicare hospice benefit pays its own per diem rate and carries its own documentation rules. Our billers code every patient day at the correct level, so no revenue is left behind.
Everyday care at home, paid per diem with higher rates for days 1–60
Crisis-level care at home, billed hourly with an 8-hour daily minimum
Short-term caregiver relief in a facility, capped at 5 days per stay
Acute symptom management in a facility, the most audited level of care
Start with the one product that clears your biggest bottleneck, or integrate our full suite. Either way, each one works seamlessly in your hospice revenue cycle.
Syncs hospice health records with billing so no per diem day goes unbilled.
Documents every hospice visit and feeds it straight into coding, no re-keying.
Assigns terminal diagnosis ICD-10 and level-of-care codes in your billing pipeline.
Intake, scheduling, billing, and claim status running on one connected platform.
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