How to Improve Your Hospice Revenue Cycle: 7 Key Questions
Our previous installments, Strategic Hospice Revenue Cycle Management and Hospice Billing: How to Build a Clean-Claim Process, established that a healthy revenue cycle is the engine that allows an agency to maintain stability and focus on its clinical mission....
Hospice Billing: How to Build a Clean-Claim Process
In our first installment on Revenue Cycle Management (RCM) - Silent Killers of Hospice Cash Flow (and How to Fix Them) - we discussed why consistent working capital is the foundation of an agency's operational stability. It impacts staffing levels, vendor...
Silent Killers of Hospice Cash Flow (and How to Fix Them)
No hospice leader enters this field because they love claims and remittances. Their focus is not hospice cash flow optimization. Hospice leadership's goal is to ensure a dignified end-of-life journey for patients and families. They work to build an organization that...
How to Master the Hospice CBR for Better Compliance
Many hospice administrators are familiar with the hospice PEPPER report. A smaller number of hospice leaders, however, are familiar with its counterpart: the Comparative Billing Report (CBR) and eCBR, the electronic version of the Comparative Billing Report. While the...
Government Audits: Extrapolation and its Financial Impact
Hospice agencies are under increasing scrutiny by government auditors. A particularly concerning and financially devastating aspect of government audits is the use of statistical extrapolation. Understanding the extrapolation process is essential for providers to...
What is a False Claims Act investigation?
What is the False Claims Act
Tips for avoiding hospice election form denials
What is a hospice election statement? A hospice election statement is a condition of payment under Medicare. For a patient to be eligible to receive hospice services under the Medicare benefit, the patient or the patient's authorized representative must elect hospice...
What is the Hospice Election Statement requirement?
To receive hospice services under the Medicare benefit, a patient or his authorized representative must elect hospice care. If the patient or authorized representative elects to receive hospice care, the patient must file an election statement with a specific hospice...
Medicare Credit Balance Report
What is Medicare credit balance? A Medicare credit balance represents a Medicare overpayment to a provider due to patient billing error or claims processing error that must be refunded to Medicare. The report is referred to as a Credit Balance Report because when a...