Hospice

Claim denials can lead to countless extra administrative hours spent and potentially millions of dollars in lost revenue. A systematic process of compliance billing and internal auditing allows providers to self-correct and prevents violations from escalating.

Hospice billing services from an experienced Hospice Revenue Cycle Management Company can help ensure that all of your hospice claims are properly billed, resulting in accurate reimbursement for the care you provide to patients. At 3Gen Consulting, we provide you with a team of highly trained, expert billers who use best practices to submit clean, compliant claims.

3Gen helps hospice agencies in coding of the services. It includes review of Certificate of Terminal Illness, checking compliance with Hospice eligibility cards and newly added Hospice Item Set (HIS).

HIS, introduced in 2018, has multiple items which includes Pain Assessment & Treatment, Shortness of Breath Assessment & Treatment, Opioid Medications and Bowel Regiment. All of the above is reviewed in compliance with CMS guidelines.

Comprehensive Audits

We provide high-quality & cost-effective audit service. The OIG recommends that healthcare providers and agencies perform periodic audits to verify that services coded are in conjunction with ICD guidelines.

The basic challenges faced by healthcare professionals or agencies are Loss in Revenue, Loss in Case Mix points for Diagnosis & OASIS and Loss in Higher Star Ratings. We have Certified Professional Coders with vast expertise in Home Health, Hospice and Specialty Coding. Our audit process helps identify the gaps between current documentation & regulatory guidelines.

The hospice billing services staff at 3Gen can confirm hospice eligibility, benefit period, episodes of care, and MSP for each patient for you. We can let you know if you need to obtain a face-to-face visit prior to admission, or if you need a clinical preauthorization from an insurance company. There is no need for you to struggle to interpret the eligibility reports.

Hospice Coding Services

  • ICD-10 Coding
  • Clinical Documentation Review
  • Review of Certificate of Terminal Illness, checking compliance with Hospice eligibility cards and Hospice Item Set

Hospice Billing Services

  • Claim hold review and claim processing
  • Hospice Direct Data Entry for Notice of Election
  • Payment Posting
  • Denial Management
  • A/R Follow-up

Hospice Billing Process

Tools we have experience with:

  • advancebilling
  • advancedMD
  • advantx
  • athena
  • carecloud
  • centricity
  • eclinic
  • epic
  • equelmed
  • kareo
  • lytec
  • medisoft
  • meditouch
  • misys
  • modernizing
  • nextech
  • nextgen
  • proclaim
  • pulse
  • totalMd

Need help with your end-to-end Hospital Billing Service?

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