Hospice Billing Services
Claim denials can consume countless administrative hours and result in significant revenue loss. With CodexQA’s structured and compliant billing processes, providers can identify issues early, maintain accuracy, and prevent costly violations.
Our hospice billing experts ensure every claim is prepared and submitted correctly, enabling accurate reimbursements and consistent cash flow. With deep industry experience and proven RCM practices, CodexQA simplifies complex billing tasks so you can focus on quality patient care.
Hospice Billing
Your One-Stop Solution for Complete Healthcare Revenue Cycle Management.
Streamlined Hospice Revenue Cycle Solutions
Hospice care provides compassionate support for patients with life-limiting illnesses, addressing their physical, emotional, and spiritual needs. Codex partners with hospice agencies to deliver complete revenue cycle management including coding, billing, A/R follow up, and denial management ensuring accuracy and steady cash flow.
Clinical & Coding Review
- ICD Coding and Documentation Verification
- Review of CTI (Certificate of Terminal Illness)
- Eligibility & HIS Compliance
- Medical Records – Admissions, Notes, Referrals
- Physician Orders & Visit Documentation – Nursing, Therapy, MSW, HHA
- Medication Profile and Communication Logs
Billing & Revenue Management
- Notice of Election (NOE), Termination (NOTR), and Change (NOC) Submissions
- Monthly Sequential Billing and Final Claims
- Payment Posting and Account Reconciliation
- A/R Follow-Up and Denial Management
- Customized Financial Reports for Insightful Tracking
- Regulatory & Audit Compliance
Compliance & Reporting
Ensure accuracy, transparency, and compliance with detailed reviews, consistent reporting, and audit-ready documentation for your agency.
- Clinical Review for Hospice Eligibility
- Infection and Incident Reporting
- 60-Day Summaries for Ongoing Monitoring
- Accurate Audit Support and Quality Assurance
FAQs
What does hospice billing include?
Hospice billing covers all aspects of financial management for hospice care, including claim creation, submission, payment posting, denial management, and compliance review. Our experts ensure accuracy and timely reimbursements while maintaining full compliance with Medicare and Medicaid regulations.
Why should I outsource hospice billing to Codex?
Outsourcing to Codex reduces administrative burden and improves revenue accuracy. Our certified billing specialists use advanced tools to handle complex hospice claims, resolve denials efficiently, and ensure your agency gets paid faster with complete transparency and compliance.
How does Codex ensure compliance in hospice billing?
We strictly follow CMS guidelines and perform regular audits to maintain compliance. Our team stays updated on policy changes and payer-specific rules to ensure every claim meets regulatory standards, minimizing risks of penalties or delayed payments.
Can Codex handle both Medicare and private insurance hospice claims?
Yes. We manage hospice billing for Medicare, Medicaid, and all major private insurance providers. Our team is skilled in payer-specific billing nuances, ensuring smooth submission and faster reimbursement across all payers.
How can Codex improve my hospice agency’s cash flow?
By streamlining your billing workflow, reducing denials, and accelerating claim processing, Codex helps optimize your revenue cycle. Our data-driven approach ensures consistent cash flow, reduced administrative workload, and better financial visibility for your hospice agency.