- Specialized Hospice RCM Teams
- Election & Clinical Documentation Integrity
- Denial Management & AR Acceleration
Protect revenue. Simplify hospice billing. Improve cash flow.
Hospice billing has unique documentation and clinical requirements. Valiant Lifecare combines hospice-trained coders, clinical auditors and RCM technologists to ensure every election, level of care and service is supported and billed correctly — reducing denials, accelerating collections and minimizing audit risk.
What we do for hospice providers
Eligibility & Benefits Verification
Confirm coverage, hospice benefit eligibility, effective dates, and benefit limitations before or at election to prevent claim rejections.
Election Documentation Review
Audit hospice election statements, face-to-face certifications, physician attestations and supporting clinical notes for compliance and defensible claims.
Level of Care Billing
Accurate billing and clinical support for Routine Home Care, Continuous Home Care, General Inpatient and Respite care levels.
Claims Preparation & Submission
Assemble and submit clean claims, include required attachments and clinical summaries, and manage payer-specific requirements for hospice claims.
Denial Management & Appeals
Root-cause analysis, targeted documentation supplementation, and appeals to recover denied hospice payments quickly.
AR Management & Cash Acceleration
Active follow-up, prioritized aging queues, and KPI-driven collection strategies to shorten days in AR and improve cash flow.
Clinical Audit & CDI
Ongoing chart audits, clinician feedback and documentation improvement programs to maintain compliant, high-quality records and reduce future denials.
Reporting & Analytics
Custom dashboards on election compliance, level-of-care utilization, denial trends, revenue leakage, and revenue recovery opportunities.
Integration & Workflow Support
EMR/LIS integration, intake automation, and clinician-friendly workflows to embed RCM without disrupting patient care operations.
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How our Hospice RCM workflow works
Our process balances clinical sensitivity with revenue protection. We validate the clinical basis and documentation early, submit well-supported claims, and maintain an aggressive post-submission process to resolve denials and accelerate payments.
Intake & Eligibility
Verify benefits, coverage windows and hospice eligibility at admission/election.
Documentation Audit
Validate election statements, face-to-face notes, and physician certification for clinical sufficiency.
Claim Build
Create claims with required clinical attachments and correct service-level codes for the appropriate level of care.
Submit & Track
Submit claims, reconcile ERA/ERA data, and monitor adjudication progress.
Denial Triage
Categorize denials by root cause (documentation, eligibility, bundling) and prioritize high-recovery actions.
Appeal & Recovery
Provide supporting documents, prepare appeals and secure reversals or corrected payments.
Continuous Improvement
Deliver insights and provider education to reduce repeated denial drivers and strengthen documentation going forward.
Speak With an Expert
Improve Your Operational Outcomes. Connect with us today for a no-charge in-depth Consultation before we begin optimizing your operations.
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