5 Common Hospice Billing Errors That Cost You Revenue

Hospice billing is unforgiving — small errors compound quickly into real revenue loss. These five mistakes show up repeatedly across agencies of every size. Here is what to watch for and how to close each gap.

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1. Late Notice of Election (NOE) Submission

Medicare requires NOE submission within 5 calendar days of the hospice admission date. Late submissions result in reduced payment for those days. Always submit NOEs on day one.

2. Incorrect Level of Care Billing

Billing routine home care when the patient qualifies for continuous home care or general inpatient care means leaving money on the table. Ensure documentation supports the highest appropriate level of care.

3. Missing Room and Board Claims

For patients residing in nursing facilities, hospices can bill Medicaid for room and board. Many agencies miss these claims entirely, losing thousands per patient.

4. Inadequate Documentation for GIP

General Inpatient Care requires specific documentation showing that symptoms cannot be managed in another setting. Insufficient documentation leads to denials.

5. Failure to Track the Hospice Cap

The Medicare hospice aggregate cap limits total Medicare payments per beneficiary. Agencies that do not track this proactively risk significant overpayment recoupments.

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