Hospice Certifications: What CMS Requires, Potential Pitfalls, and How to Stay Audit-Ready Hospice certification rules look straightforward. Two 90-day benefit periods. Then 60-day periods. Physician certification. Face-to-face encounters later on. Yet, certification and recertification errors remain one of the most common reasons hospice claims are denied, delayed, or recouped. Hospice certifications sit at the intersection of:…
Read moreThere’s a moment for new hospice agencies when the clinical side clicks. Your team knows how to care for patients. Admissions make sense. Plans of care feel steady. Then someone brings up hospice cost reports and the Medicare hospice cap.That’s when anxiety sets in. Cost and cap reporting are not clinical problems. They’re operational ones….
Read moreHOPE will be available for testing in your environment July 2025 Book your demo & find out more about the CHAP Verified Hospice EMR built for teams like yours! Check Out More Hospice Tools Insights! Book Your Hospice Tools Demo Today! Get to the Top with Hospice Tools! Get My Free Trial!
Read moreAt Hospice Tools we build tools that solve real problems for real hospice teams. That’s why we’re excited to introduce AI Assist, now available in beta. Hospice documentation is complex, nuanced, and high-stakes. Compliance isn’t optional, and quality charting isn’t just about checking boxes—it’s about patient care, reimbursement, and protecting your agency. That’s where AI…
Read moreWhy Personalized Care Plans Matter In hospice, every patient’s situation is unique. A key reg in hospice is that care must be personalized and individualized to each patient. Personalized care plans are essential to making sure patients receive meaningful, whole-person care. Beyond managing symptoms, care plans help hospice teams honor the emotional, spiritual, and personal…
Read moreHospice agencies deal with various audits and surveys to ensure compliance with federal regulations, maintain quality patient care, and follow proper billing practices. These reviews can come from federal agencies, Medicare and Medicaid contractors, and quality assessment programs. Understanding these processes and their potential consequences can help hospices stay ahead and remain compliant. Failing an…
Read moreA hospice purpose-driven electronic medical record (EMR) & billing solution streamlines tasks across your agency; from intake and charting to billing and compliance. Unfortunately, many of the tools out there are reworked systems. Check out a few key elements that a hospice specific solution provides to help hospice teams like yours do their best work….
Read moreChoosing hospice is a big decision for patients and their families. This choice often comes during an emotionally charged time, while people are navigating a trauma. A well-executed hospice patient intake process can make all the difference. Intake is your agency’s opportunity to build trust and ensure a smooth transition to care. Check out some…
Read moreMedicare’s Additional Documentation Requests (ADRs) may seem scary and can be a hassle to navigate, but they’re also a great opportunity to ensure and showcase your hospice agency’s awesome care and compliance. By staying organized and with a few simple tips, your agency can easily handle ADRs. What are ADRs? Medicare uses ADRs to double-check…
Read moreFrom our deep experience in hospice – from both the provider side and now on the side of delivering hospice software and services to local independent agencies across America, hospice agencies are built by people who are professional, altruistic, caring, and compassionate. When we talk about diversity and inclusion, especially in hospice, it’s easy for…
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