Home/Specialties/Hospice Billing

Dignified Billing for Hospice Care Agencies

Hospice billing leaves no room for delay. We expertly manage strict NOE deadlines, 4 levels of care coding, and SIA claims so your agency is fully reimbursed while you focus on providing compassionate end-of-life care.

NOE Compliant

Zero Late Penalty Risks

We strictly manage Medicare’s 5-day Notice of Election (NOE) and NOTR windows to ensure you never forfeit payment for unbillable days.

4 Levels of Care (RHC, CHC)
SIA & Room/Board Pass-through

Why Hospice Billing Needs Specialists

Hospice agencies face relentless Medicare scrutiny. Failing to meet Face-to-Face (F2F) timelines, miscalculating Continuous Home Care (CHC) hours, or mismanaging Nursing Facility Room and Board (R&B) claims can cripple your cash flow. We ensure absolute compliance so your revenue remains intact.

NOE / NOTR Compliance

Medicare demands a Notice of Election (NOE) within 5 days of admission. We monitor DDE systems daily to ensure NOEs and Notice of Termination (NOTR) are accepted on time to prevent unbillable days.

Levels of Care Coding

We accurately bill across all four distinct levels of care: Routine Home Care (RHC), Continuous Home Care (CHC), General Inpatient Care (GIP), and Inpatient Respite Care (IRC).

Room & Board Pass-Through

For patients residing in a Nursing Facility (NF) or Skilled Nursing Facility (SNF), we handle the complex Room and Board pass-through billing to Medicaid seamlessly.

The Hospice Workflow

Securing Revenue from
Admission to Discharge

We proactively manage the intricate timelines of hospice billing—from the initial NOE to sequential monthly billing and end-of-life add-on payments.

01

Election & Admission

Upon admission, we immediately verify Medicare Part A eligibility and submit the 81A (NOE) directly to the MAC to lock in your payment window.

02

F2F Tracking

For patients entering their 3rd benefit period (and beyond), we strictly track the required Face-to-Face (F2F) physician encounters to prevent sudden payment suspensions.

03

SIA & Monthly Billing

We process monthly claims (TOB 81X / 82X), ensuring Service Intensity Add-on (SIA) payments are captured for RN and Social Worker visits in the last 7 days of life.

04

ADR Defense

Hospice length-of-stay is highly audited. If an Additional Documentation Request (ADR) is issued, we rapidly compile certifications and nursing notes to defend your claims.

Stop Losing Revenue to
Late NOE Submissions

Partner with certified hospice billers who understand the exact mechanics of Medicare Part A, TOB 81x, and SIA payments. Contact Valeria Healthcare Solutions today.