Hospice billing is not difficult, but the myriad ways which Providers contract with their Hospice customers means we can only make suggestions. Your specific Hospice contract will determine how you proceed.
Problem: Hospice care, by it’s nature is designed to take care of the most ill patients. Once patients come under Hospice care, they tend to expire after a relatively short period of time. This can result in large numbers of inactive patients in your system with short periods of service. We’d prefer to not have all these inactive patients in our system.
Problem: Hospice care patients should never be billed for any part of the responsibility for services.
Solution: Enter the Hospice as both a Payor and a Customer. The customer should be setup with the Hospice Policy as the primary payor. Then when you enter an order for a patient under ABC Hospice, you would select the customer ABC Hospice and enter your order as you normally would. The only difference would be that you would enter the Patient’s name under the Shipping Address. This will group all patients of ABC Hospice together on the Orders, Recur and Claims grids, but will show the Ship-To Name in a column to show you the actual patient.
Pricing for ABC Hospice will be setup one time for the ABC Hospice payor, so they will get the correct contracted billing rates.
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