Specialized Hospice Billing

Hospice billing, done without the worry.

We help hospices file clean NOEs on time, manage sequential billing, stay ahead of the aggregate cap, and recover aging AR, so your team can stay focused on patients and families, not claim rejections.

NOE, NOTR & Sequential Billing
Aggregate Cap Monitoring
Backed by a Full Accounting Firm
Free Hospice Billing Audit

Get your complimentary hospice AR review

Tell us about your hospice. We'll review NOE timeliness, sequential billing accuracy, cap exposure, and aging AR, then show you where revenue is slipping. No obligation.

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5 Days
NOE Filing Window
↓ Days
Reduced Days in AR
Cap
Aggregate Cap Tracking
RHC / CHC / GIP
All Levels of Care

Hospice billing has rules most
billers never master.

A late Notice of Election can wipe out reimbursement for an entire benefit period. Sequential billing means one rejected claim stalls every claim behind it. And the aggregate cap can turn a profitable year into a six-figure repayment if no one is watching. General medical billers rarely understand any of it.

Problem 01

Late NOEs That Forfeit Reimbursement

The Notice of Election must reach the MAC within five calendar days. Miss it, and your hospice eats the cost of every day until it's filed. A single oversight can cost an entire benefit period of payment.

Lost Revenue
Problem 02

Aggregate Cap Liability Nobody Saw Coming

When payments exceed your cap, CMS demands the overage back. Without monthly cap tracking, hospices discover the problem after the cap year closes, when it's too late to adjust admissions or length of stay.

Repayment Risk
Problem 03

Sequential Billing That Stalls Cash Flow

Hospice claims must be billed in order, month after month. One rejected or held claim freezes everything behind it, so a small error early in a patient's stay can delay months of legitimate revenue.

Cash Flow Risk

We bill all four hospice levels of care.

Routine home care, continuous home care, inpatient respite, and general inpatient each carry their own per-diem rates, documentation requirements, and audit triggers. We bill every level correctly the first time, so you capture the reimbursement you earned without inviting scrutiny.

Level 01

Routine & Continuous

Accurate per-diem billing for Routine Home Care and the higher-acuity Continuous Home Care, including the hourly thresholds CHC requires.

  • RHC per-diem billing
  • CHC hourly documentation
  • Service intensity add-on (SIA)
Level 02

Respite & Inpatient

Correct billing for Inpatient Respite Care and General Inpatient, two levels that draw the most audit attention when documentation falls short.

  • Inpatient respite (IRC) day limits
  • General inpatient (GIP) billing
  • Facility coordination
Level 03

Election & Compliance

The administrative backbone of hospice reimbursement, handled on time and in the right order, every benefit period.

  • Timely NOE & NOTR filing
  • Sequential monthly billing
  • Revocation & transfer handling

Hospice billing,
start to finish.

From the first Notice of Election through final claim and cap reconciliation, we manage the entire hospice revenue cycle. Nothing slips through the cracks, and you get the financial clarity your leadership and governing board need.

End-to-End Coverage

Every stage of your hospice revenue cycle, handled.

NOEs filed on time. Claims billed in sequence. Cap monitored monthly. Denials appealed and aged AR recovered. We work in your existing EMR so you don't have to change platforms or retrain staff.

01
NOE filing & sequential claims
02
Cap monitoring & AR recovery
03
Reporting & board-ready clarity
  • NOE & Sequential Billing

    Timely Notice of Election filing and disciplined sequential claim submission so cash flow never stalls behind a single held claim.

  • Aggregate Cap Monitoring

    Ongoing cap calculations throughout the year, so you can adjust before the cap year closes, not after CMS sends the bill.

  • AR Clean-Up & Appeals

    Recover aged receivables and appeal denials, turning revenue you'd written off back into collected cash.

  • Board-Ready Reporting

    Clear financial reports your leadership and governing board can trust. No mystery numbers, no surprises at year end.

Your simple path to clean
accounts receivable.

A straightforward three-phase engagement designed to stabilize your billing operations fast, then optimize continuously.

01
Phase One

Assess

Request a complimentary review. We audit your NOE timeliness, sequential billing, cap exposure, and aging AR to find where revenue is leaking.

02
Phase Two

Implement

We agree on scope and pricing, set timelines, and seamlessly transition your hospice billing to our expert team, working inside your existing EMR.

03
Phase Three

Monitor

You receive clear monthly reports, ongoing cap tracking, and direct access to your dedicated hospice billing specialist.

Billing, backed by a full accounting firm.

We don't just submit hospice claims. We protect your reimbursement, your cap position, and your compliance standing, so you can focus on the families in your care.
Walters Billing Solutions
Accounting-Backed Hospice Billing
01

Hospice-Specific Expertise

We live in NOEs, sequential billing, levels of care, and the aggregate cap. This is not general medical billing with a hospice label.

02

Backed by a Full Accounting Firm

Our foundation in accounting means we watch your cap and bottom line, not just individual claims. Few billing companies can say that.

03

A Specialist Who Knows You

Direct access to a dedicated hospice billing specialist who knows your agency. No call trees, no faceless support tickets.

Free Hospice Audit · No Obligation

Let's protect the revenue you've already earned.

Schedule your complimentary hospice billing audit today. We'll review NOE timeliness, sequential billing, cap exposure, and aging AR, then show you exactly where revenue is at risk.

  • Complimentary hospice billing diagnostic, no cost or commitment
  • NOE, cap, and AR risk areas identified for your hospice
  • A dedicated specialist who knows hospice billing inside out
  • Backed by a full accounting firm watching your cap and bottom line
Request Your Free Audit

Request your hospice billing audit

Fill out the form below and a hospice billing specialist will reach out within one business day.

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Request Free Audit Consultation Now

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