Hospice revenue cycle management
Hospice revenue hinges on timely notices and levels of care - the NOE deadline, per-diem levels and benefit periods. AI agents keep notices, elections and claims on time.
Hospice billing runs on the Medicare hospice benefit: a Notice of Election filed within strict deadlines, per-diem billing by level of care, benefit-period tracking, and Notice of Termination/Revocation when care ends. A late NOE alone can forfeit days of payment. MedXFlow tracks notices and benefit periods and runs claims, posting and denials end to end.
Election & notices
- NOE timely filing - Tracks and files the Notice of Election within the deadline so days are not forfeited.
- NOTR & revocation handling - Files Notice of Termination/Revocation accurately when care ends or changes.
Levels of care & per-diem
- Level-of-care per-diem billing - Bills routine, continuous, respite and general inpatient care at the correct per-diem.
- Documentation prompts - Prompts for the documentation each level of care requires.
Eligibility & benefits
- Benefit-period verification - Verifies hospice election and benefit periods before and during care.
Claims, posting & denials
- Payment posting - Auto-posts ERAs and reconciles by period and level of care.
- Denial management - Works NOE-timeliness and level-of-care denials by root cause.
What you get
- Notices filed within deadline so no days are forfeited
- Levels of care billed at the correct per-diem
- Benefit periods tracked accurately
- Fewer timeliness and documentation denials
Frequently asked questions
What is the Notice of Election (NOE) in hospice billing?
The NOE tells Medicare a patient has elected hospice, and it must be filed within five calendar days of the start of care. A late NOE makes the hospice liable for the days before it was filed, so timely filing directly protects revenue.
How is hospice care billed?
Hospice is paid per diem by level of care (routine home care, continuous home care, inpatient respite, and general inpatient), with documentation supporting the level billed. MedXFlow tracks notices, benefit periods and levels so claims are accurate and on time.