Introducing Mira™: A Decade of Hospice Billing, Built Into a Platform

Some ideas take years to become obvious. This one took a decade.

For ten years, my team ran CPS Billing — a medical billing service focused exclusively on hospice, home health, and palliative care. We handled claims, worked denials, chased NOE deadlines, navigated Medicare cap calculations, and helped hundreds of agencies collect the revenue they had earned. We got good at it.

But we also accumulated a long, honest list of the ways the job was harder than it needed to be.

What Ten Years Exposed

Running a billing service inside someone else’s software reveals things that product demos never show you. You see the friction points that billers live with every day: the EMR that has no good way to surface documentation gaps before claim submission, the payer portal that times out halfway through a denial appeal, the reporting dashboard that shows you what happened last month but gives you no signal about what’s going wrong right now.

We watched agencies lose reimbursement on legitimate GIP claims because the supporting documentation was buried in a chart and nobody flagged it before submission. We watched nurses spend four hours assembling IDG meeting packets — printouts, manual lookups, phone calls — that should have taken fifteen minutes. We watched billing coordinators build their own denial tracking spreadsheets because no system gave them a clear picture of which denials were worth pursuing and which patterns were systemic.

None of these are exotic edge cases. They are Tuesday.

We tried every major hospice and home health billing platform on the market. Some were powerful. Most were honest about what they were: record-keeping systems that required human expertise to translate data into decisions. That expertise was our team. But it shouldn’t have to be.

The Decision to Build

Around 2023, two things converged. The AI tools available for language processing had crossed a threshold — they were reliable enough to use in clinical and billing workflows, not just as curiosities. And the hospice sector was in the middle of a rough patch: agencies under margin pressure, staff turnover climbing, regulatory complexity increasing with PDGM refinements and cap year uncertainty.

The question that drove us was specific: what would it look like if the software knew as much about hospice billing as our best team members did, and applied that knowledge proactively — before errors became denials, before denials became write-offs?

We started prototyping in-house. We built an AI-assisted IDG brief that could summarize a patient’s recent notes and lab trends in under ten seconds. We built a denial prediction model trained on claims patterns — not a generic ML toy but one shaped by hospice-specific denial taxonomies. We built a family portal that gave patient families a direct line to care updates, in English and Spanish.

Each prototype got tested against real agency workflows. The results were clear enough that we decided to build a complete platform rather than a collection of features bolted onto an existing system.

That platform is Mira™.

Why We Chose This Name

Naming a company you’ve spent years building is not a casual exercise. We spent time on it.

“Mira” is a word that lives in several languages at once. In Spanish, it comes from mirar — to look, to watch over, to pay careful attention. In Latin, it connects to miraculum — something that causes wonder, that surpasses ordinary expectation. In Sanskrit, the poet Mirabai was a voice of devotion and care. All three meanings pointed at the same thing: watchful attention, delivered with care.

That is exactly what hospice and home health billing requires. The patients your agency serves are in the most consequential chapter of their lives. The care your clinicians deliver deserves to be paid for correctly, without leaving reimbursement on the table because of documentation gaps or missed deadlines. Mira™ is the platform that watches over that process — not instead of your team, but alongside it.

The name also marks a deliberate shift in how we think about the relationship between software and care. We are not a claims clearinghouse with a dashboard. We are the clarity platform built specifically for the workflows of hospice and home health — from the IDG meeting table to the billing queue to the family portal. AI watches the details; your team sees clearly and acts with confidence.

What Is Different Now

CPS Billing as a managed service continues. If you are a current CPS customer, nothing about your billing relationship changes. The same team, the same contacts, the same commitment to your collections. See the FAQ post for specifics.

What is new is the platform. Mira™ is now available to agencies who want to bring billing operations in-house, or to agencies who want our managed service running on top of a modern clinical workflow system. The two offerings are designed to work together — but each stands on its own.

The seven AI features that shipped in this first release — IDG brief generation, admission documentation assistance, denial prediction, clinical notes summarization, AI-assisted appeal drafting, billing code suggestions, and the bilingual family chatbot — represent the clearest expression of what we set out to build. Not AI for its own sake. AI applied to the specific moments in a hospice or home health workflow where a faster, more accurate signal genuinely changes the outcome.

A Note on the Work Itself

I want to be direct about something. We built this platform in a sector where the stakes are real. The patients your teams care for are dying, or living with serious illness, or recovering at home with family. The billing work that surrounds that care is not abstract. When a claim is denied, it affects whether your agency can sustain the staffing levels that deliver quality care. When a family portal works in both English and Spanish, it means a family whose first language is not English gets the same information as everyone else.

We took that seriously throughout development. The compliance architecture is conservative by design — HIPAA BAA-gated AI, per-organization opt-in, fail-closed defaults, audit logs that record prompt length but never prompt content. The family portal copy went through multiple rounds of clinical and cultural review. The Spanish translations are not machine-translated marketing — they were written and reviewed by bilingual clinicians.

We got one chance to launch this right. We took it.

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