Coordinate Intake Dates and Election Related Records
Billing staff need accurate dates and complete information about the account being billed. An inconsistent admission date or missing election-related record can create an issue that follows the claim through payer review.
Native RCM helps organize the administrative information supplied by your hospice. Required notice-related billing tasks and payer deadlines can be tracked within the agreed scope using the current requirements relevant to the account.
Hospice Billing Support Areas
- Review of patient, payer, agency and service-date information.
- Tracking of election and notice-related administrative work as scoped.
- Coordination of available care-level and service records for billing.
- Review of transfer, discharge and other date-related changes.
- Claim preparation and submission tracking.
- Payment posting and reconciliation of available remittances.
- Denial investigation and insurance AR follow-up.
- Reporting of unresolved records and payer questions.
The arrangement defines which tasks your hospice retains and which Native RCM supports. Clinical eligibility, certification and the accuracy of care records remain with the appropriate professionals.
Distinguish Hospice Care Levels and Account Changes
Billing information needs to reflect the care documented for the dates in question. Changes in level of care should be supported by the hospice record and communicated through the approved administrative process.
We also review how transfers, revocations and discharges are reflected in the billing account. A date correction may affect more than one claim, so the account history needs to show which records and submissions were updated.
Follow Up on Payer Questions With the Right Records
When a payer asks for information, your team needs to know the request, deadline and records required. Native RCM can document the request and coordinate the administrative handoff to your hospice staff.
If a claim is denied, denial management helps investigate the stated reason and identify a supported review route. AR follow-up addresses unresolved payer balances that require status checks or another action.
Reports for Hospice Administrators
Account reports can distinguish claims awaiting submission, payer responses, missing documents and outstanding balances. Grouping items by their next action gives administrators a more practical view of the work.
We discuss report definitions and the communication arrangement before onboarding so your team can identify where an unresolved issue requires clinical or administrative input.
Hospice Billing Questions
Do you make hospice eligibility decisions
No. Clinical eligibility and certification remain with authorized professionals. Native RCM supports the agreed administrative billing workflow.
Can you help track election related billing tasks
Yes. The scope can include administrative tracking of required notices and related records using the requirements applicable to your payer and account.
Can you assist with transferred or discharged patient accounts
Yes. Those records can be reviewed for date alignment, account history and claim follow-up within your service arrangement.
Review Your Hospice Billing Workflow
Contact Native RCM to discuss hospice billing support for your Wyoming organization.