Hospice Billing Services Built for Medicare and Medicaid Compliance
Excellence Billing provides outsourced hospice billing support built around cap reporting, room and board reimbursement, and recertification timing, so your agency’s revenue cycle runs on rules that actually apply to hospice care.
How Hospice Billing Works
Hospice billing runs on requirements that general medical billing doesn’t account for: aggregate cap reporting, room and board reimbursement coordination, and recertification windows tied directly to patient eligibility. When these are managed by a hospice medical billing company that treats them as routine practice rather than exceptions, claims move through more predictably and compliance risk stays visible instead of surfacing during an audit.
Excellence Billing provides hospice billing services as a full outsourced function, covering everything from initial claims submission through final reconciliation, or as individual services an agency can add to its existing billing process.
- Claims Submission and Management. Excellence Billing manages hospice claims submission from initial filing through resolution, applying documentation standards specific to hospice Medicare requirements. This includes tracking recertification timing, verifying eligibility documentation, and confirming claims are filed within the windows Medicare requires.
- Medicare and Medicaid Billing Support. Hospice Medicare billing support requires familiarity with Medicare Administrative Contractor requirements, including Palmetto GBA, alongside applicable Medicaid billing rules for agencies serving dual-eligible patients. Excellence Billing manages both, coordinating claims across payers so agencies aren’t tracking separate Medicare and Medicaid requirements on their own.
- Accounts Receivable Follow-Up. Unresolved accounts receivable is often where hospice revenue quietly stalls. Excellence Billing follows up on outstanding claims on a defined schedule, working aged receivables systematically rather than letting them accumulate until they require significant write-offs.
- Denial Management. Denials in hospice billing tend to follow patterns tied to documentation timing, cap reporting, or contractor-specific requirements. Excellence Billing manages denial follow-up by identifying the underlying cause of a denial, correcting and resubmitting claims where appropriate, and tracking denial trends to reduce recurrence over time.
- Payment Posting and Reconciliation. Accurate payment posting is what makes the rest of the revenue cycle trustworthy. Excellence Billing posts payments against claims promptly and reconciles them against expected reimbursement, so discrepancies are caught early rather than discovered months later during cost reporting.
- Billing Compliance Support. Billing compliance in hospice care means documentation that would hold up under a CMS audit, not just documentation sufficient to get a claim paid. Excellence Billing structures billing practices around this standard, including ongoing cap reporting tracking, so agencies have a defensible compliance position rather than one that depends on never being reviewed.
- Financial Reporting. Hospice revenue cycle management depends on visibility, not just activity. Excellence Billing provides agencies with regular financial reporting covering claims status, aging accounts receivable, cap position, and denial trends, giving leadership a clear operational picture rather than a black box.
Why Hospice-Specific Experience Matters
Hospice billing is not general medical billing with different paperwork. Cap reporting, room and board reimbursement, and hospice-specific recertification timing all require direct familiarity to manage correctly, and a hospice medical billing company that only occasionally handles hospice claims is more likely to miss these details than one built specifically around them.
Excellence Billing works exclusively in hospice and home health billing. The team’s background includes direct experience with Palmetto GBA and TMHP, reinforced through ongoing annual training to stay current with Medicare and Medicaid rule changes affecting hospice care. Learn more about our background and experience.
Where We Serve
Excellence Billing provides hospice billing services to agencies nationwide, regardless of which Medicare Administrative Contractor they bill through. Agency location does not limit access to hospice billing, compliance, or reporting support.
The team’s deepest, most concentrated expertise is with agencies billing through Palmetto GBA Jurisdiction M. That includes:
- North Carolina
- South Carolina
- Virginia
- West Virginia
Agencies outside Jurisdiction M receive the same hospice billing, compliance, and reporting support as agencies within it. Jurisdiction M depth is additional regional familiarity, not a boundary on which agencies are served.
