Who We Serve
Medical Coding and HIM Services for Hospice Organizations
Compassionate, accurate claims-review support that confirms eligibility, levels of care, and documentation hold up.
Overview
Honoring Care with Documentation That Holds Up
Hospice care is mission-driven — but it is also among the most closely reviewed areas in healthcare. Eligibility and the certification of terminal illness, the level of care billed, the plan of care, and the interdisciplinary group (IDG/IDT) process all have to be documented accurately and consistently to support each claim and withstand scrutiny.
HMI’s specialists perform comprehensive reviews of hospice documentation to validate the billed HCPCS code for service location, visit disciplines, units, diagnoses, and billable supplies — confirming the certification of terminal illness, plan of care, and IDG/IDT meetings are complete and accurate against the final billed claim, so your team can focus on patients and families.
The Challenge
What Hospice Organizations Are Up Against
Eligibility & Certification
The certification of terminal illness and ongoing eligibility must be clearly documented at each benefit period.
Levels of Care
The billed level of care and service location must align with the documentation and the patient’s needs.
Plan of Care & IDG/IDT
The plan of care and interdisciplinary group documentation must be complete and timely for each episode.
Heightened Audit Scrutiny
Hospice claims face significant regulatory and audit attention, making documentation accuracy essential.
How HMI Helps
How HMI Supports Hospice Organizations
We recently transitioned to HMI and the entire experience has been positive. HMI adapted to our workflows for a seamless transition, and the Coding Hotline has been an invaluable resource. I would highly recommend HMI.
Frequently Asked Questions
Hospice Organizations, Answered
What does a hospice claims review include?
Do you review certification and eligibility documentation?
Can you help us prepare for audits?
Are your specialists credentialed and U.S.-based?
Explore More
Related Expertise
Documentation Worthy of the Care
Let Your Team Focus
on Patients and Families
Talk with HMI about hospice claims review and documentation support for your organization.