Hospice Value-Based Care Software
Monitor cumulative Medicare payments per beneficiary against the annual aggregate cap throughout the cap year.
Monitor cumulative Medicare payments per beneficiary against the annual aggregate cap throughout the cap year. The workflow is configured around the documentation and payer requirements common to Hospice care.
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Hospice workspace preview coming soon
Hospice Value-Based Care Software for Hospice
Built specifically for Hospice practices, not bolted onto a multi-specialty platform, so every rule matches how your team actually gets paid.
Specialty-tuned accuracy
Coding and prior-auth logic tuned to Hospice catches problems before claims go out.
Faster, fuller payment
Automated charge capture and posting speed up cash flow and recover dollars you're leaving on the table.
Work by exception
Automation clears the routine work so your team only touches the claims that need a human.
One system of record
Scheduling, clinical, and financial data live in one place, for a single real-time view of performance.
Deep Dive: System Capabilities & Specialized Workflows
A hospice patient's daily level of care, routine home care, general inpatient care, continuous home care, or respite care, can change based on acute symptom management needs, and each level carries a different per-diem rate that must be billed for the exact dates that level was in effect, with general inpatient and continuous home care requiring documentation justifying the higher level of care. The Notice of Election must be filed within 5 calendar days of the start of hospice care, and the agency's total Medicare payments per beneficiary are tracked against an annual aggregate cap amount that, if exceeded, must be repaid.
Configured Automation Highlights
- Address notice of Election (NOE) filed after the 5-day deadline, resulting in the agency being financially responsible for all days of care prior to filing.
- Address level-of-care billing errors when patients transition between routine home care, general inpatient, continuous care, and respite without corresponding documentation and rate changes.
- Address hospice aggregate cap overages discovered after the cap year closes, creating unexpected repayment obligations.
- Address general inpatient and continuous home care days billed without sufficient documentation of the acute symptom management criteria required to justify the higher per-diem rate.
Direct Comparison
Review the module against your payer mix and current team handoffs.
Frequently Asked Questions
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I'd love to set up a call to talk about SCOA, and the success we've had with Unlimited Financials.
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
I would recommend Unlimited Financials to other specialty practices.
We transitioned to Unlimited Financials in 2024... the team and platform are absolutely amazing.
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
I'd love to set up a call to talk about SCOA, and the success we've had with Unlimited Financials.
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
I would recommend Unlimited Financials to other specialty practices.
We transitioned to Unlimited Financials in 2024... the team and platform are absolutely amazing.
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
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Your specialty isn't generic. Your software shouldn't be either.
Walk through your specialty's exact billing workflows with an RCM expert who already knows your codes, modifiers, and payer rules.
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