Hospice billing is unlike any other kind of medical billing. Patients elect into benefit periods, care is paid by level of service rather than by visit, the Notice of Election has to be filed on time, and related-versus-unrelated diagnoses determine what you can bill. Meanwhile palliative care — the consultative, non-hospice side — bills like a physician specialty with its own documentation demands. Fast Billing Solutions provides hospice/palliative care billing services in Long Island, NY for hospices and palliative programs across Nassau and Suffolk counties from our office at 68 South Service Road in Melville, NY.
Election periods, levels of care, and NOE deadlines are the details that make hospice billing work. We handle the details. Let’s talk about your program.
Hospice Billing Built Around Elections, Levels of Care, and Deadlines
The foundation of hospice billing is the election: the patient (or representative) elects the hospice benefit, the Notice of Election (NOE) must be filed within days of admission, and benefit periods run in 90- and 60-day increments. Care is paid at four levels — routine home care, continuous home care, inpatient respite, and general inpatient — each with its own rate. Miss the NOE deadline and the hospice is liable for the uncovered days. Our billing team manages the full hospice billing cycle, from election through final claim, with deadline tracking built in.
Common Hospice and Palliative Billing Problems We Solve
- Late NOE filings — election notices filed within deadline so uncovered days don’t eat your revenue.
- Level-of-care coding errors — routine, continuous, respite, and inpatient days billed at the right level.
- Related vs. unrelated diagnosis mistakes — related conditions bundled correctly, unrelated care billed separately.
- Face-to-face recertification gaps — physician encounter documentation tracked before the third benefit period and beyond.
- Palliative consult undercoding — palliative care visits coded and billed for the complexity they actually involve.
Full Revenue Cycle Management for Hospice and Palliative Programs
Our revenue cycle management for hospice and palliative care covers the full continuum:
- Election and benefit period management
- NOE and claims filing within deadlines
- Level-of-care coding and charge entry
- Claim scrubbing and clean submission
- Payment posting and reconciliation
- Denial management and appeals
- AR follow-up on unpaid and aging claims
- Patient and family billing support
- Provider credentialing for palliative physicians
- Monthly reporting in plain English
We Bill the Full Range of Hospice and Palliative Services
Hospice routine home care, continuous home care, inpatient respite, general inpatient care, hospice physician services, bereavement support billing where applicable, and palliative care consultations in hospitals, nursing facilities, and the home. If your organization runs both hospice and palliative programs, we keep the billing streams — and their very different rules — separate and correct.
Serving Hospice and Palliative Programs Across Long Island
From 68 South Service Road, Melville, NY 11747, we support hospices and palliative programs throughout Nassau County and Suffolk County. Local, reachable, and familiar with the Medicare hospice benefit and the payers your patients carry. Explore our medical billing services across Long Island.
Why Long Island Hospices Choose Fast Billing Solutions
- Hospice billing specialists — elections, levels of care, and NOE deadlines handled by experts.
- Deadline tracking built in — NOEs and recertifications monitored so dates don’t slip.
- Denials worked daily — rejected claims reviewed, corrected, and resubmitted or appealed.
- One dedicated contact — a real person who knows your program and your census.
- Transparent monthly reporting — billed, paid, denied, and collected, by level of care.
Frequently Asked Questions
What happens if the Notice of Election is filed late?
The hospice becomes financially liable for the days between admission and the NOE acceptance date — those days can’t be billed to Medicare. We file every NOE within the required timeframe and track confirmations.
How do the four hospice levels of care work?
Routine home care (standard daily rate), continuous home care (crisis-level nursing hours), inpatient respite (short caregiver-relief stays), and general inpatient care (symptom management that can’t be handled at home). Each bills at its own daily rate, and we code every day at the correct level.
How is palliative care billed differently from hospice?
Palliative care outside hospice bills like a physician specialty — consultations and follow-up visits coded by complexity to the patient’s insurance. It has no election, no NOE, and no levels of care. We handle both billing models.
What does hospice billing cost?
Typically a percentage of collections, based on your census and program size. Get an instant quote for pricing specific to your organization.
How quickly can you take over?
Most programs transition within a few weeks. We learn your EMR, your admission workflow, and your payer mix, then start clean billing while working down any backlog.
Ready for Hospice Billing That Respects the Deadlines?
Elections, levels of care, palliative consults — all billed correctly and on time. Talk to a hospice billing team on Long Island.
