Improve hospice revenue efficiency with ParaMed’s specialized billing services. We manage detailed coding, compliance requirements, and reimbursement processes seamlessly so you can dedicate your time to patient comfort and quality care.
ParaMed Hospice Team
Dedicated Hospice Billing Specialist
Hospice billing is one of the most complex and compliance-driven niches in healthcare RCM. ParaMed handles Medicare and Medicaid hospice billing end to end, so your team can focus fully on compassionate patient care.
Hospice Billing Challenges — Solved
Medicare hospice billing has no margin for error. Every documentation gap, late NOE, or missed recertification is a revenue loss or audit liability.
Medicare requires the Notice of Election to be filed within 5 days of hospice admission. Late filings trigger automatic payment reductions or full non-payment for the gap period, with no exceptions.
We process and submit NOEs within 24 to 48 hours of patient admission intake. Our workflow triggers automatically on admission data, eliminating the filing gap that costs agencies thousands per missed case.
Missing a physician recertification deadline results in automatic non-coverage for that benefit period. These gaps are common in agencies relying on manual tracking across dozens of active patients.
Our system tracks every patient benefit period and triggers recertification alerts 14 days before the deadline. No patient falls through the cracks and every benefit period is billed without interruption.
Hospice agencies that exceed the Medicare annual aggregate payment cap face full repayment demands. Many agencies only discover they are over-cap after CMS issues a settlement demand, which is too late to manage.
We track your aggregate cap in real time throughout the fiscal year with quarterly projections so you can manage your patient census strategically and avoid surprise repayment liability.
Incorrect assignment between routine home care, continuous home care, general inpatient care, and respite care leads to systematic underpayment or audit exposure with no easy recovery path.
Our hospice billing team codes each day of care by the correct level, cross-referencing nursing visit documentation and physician orders to maximize reimbursement and eliminate audit exposure.
Up and Running in 7 Days
No disruption to your clinical team. We integrate with your EMR and handle every billing function from intake through final claim.
We review your current NOE filing rates, recertification tracking, cap position, and denial history to pinpoint exactly what is costing you money.
We connect directly to your hospice EMR — Axxess, Kinnser, MatrixCare, or others — without disrupting your clinical workflows.
You get a named billing specialist with hospice-specific Medicare and Medicaid expertise assigned to your account from day one.
Billing backlogs cleared, NOE filing normalized, and cap tracking activated within the first billing cycle with full monthly reporting.
What is Included in Your Hospice RCM
Every billing function your hospice agency needs, handled by specialists who know Medicare Part A inside out.
Same-day processing of Notices of Election and Termination/Revocation with automated deadline tracking across your full patient census.
Full tracking and management of the 90-90-60 day benefit period structure with recertification alerts and physician order coordination.
Real-time fiscal year cap tracking with quarterly projections and census management recommendations to prevent overpayment liability.
Precise daily level of care coding across RHC, CHC, GIP, and IRC with documentation cross-referencing to maximize reimbursement.
Full HIPAA-secure billing operations with BAA agreements, encrypted data handling, and audit-ready documentation at all times.
Detailed monthly reports on census, collections by LOC, cap position, denial rates, and A/R aging — full financial visibility every cycle.
Coordination and submission of Medicare-Medicaid crossover claims for dual-eligible patients, recovering the full reimbursable amount across both payers.
Root-cause denial analysis with timely appeals, including ADR response preparation and supporting clinical documentation coordination.
A named account manager with hospice-specific billing expertise who knows your census, your payer mix, and your compliance obligations by name.
Why Hospice Agencies Trust ParaMed Over General RCM Firms
General medical billers do not know hospice. The compliance complexity, the cap structure, the LOC coding — it requires dedicated expertise.
Between NOE deadlines, cap liability, documentation requirements, and ADR volume, hospice billing is the highest-compliance RCM niche in Medicare. Most agencies manage it reactively.
Our hospice billing team works exclusively on hospice accounts. They know the 5-day NOE window, the cap calculation methodology, and ADR preparation at a level general RCM firms never reach.
Our hospice billing specialists will review your NOE filing rates, cap position, LOC coding accuracy, and denial history — and give you a clear picture of what is being left uncollected every month.
No commitment. No sales pressure. A real hospice billing specialist reviews your account and delivers specific findings within 48 hours.
Takes 2 minutes. Findings delivered in 48 hours.
A ParaMed hospice billing specialist will review your account and reach out within 48 hours. Check your inbox.
Frequently Asked Questions
Ready to stabilize your Hospice billing revenue?
Get a free, no-obligation hospice billing audit. We will show you exactly what your current setup is costing you within 48 hours.
Trusted by practices across the US — feedback from providers who rely on ParaMed for smarter medical billing.
