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NewBecker's 2026 Top RCM · Inc. 5000 · Dallas 100
One ASC cut aged A/R from $4.55M to $0.76M in nine months →
SOC 2 Type 2 · HIPAA · BHCOE · CASP

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Hospice Billing Services Built Around Medicare’s Rules

Plutus Health combines hospice revenue cycle management expertise, payer intelligence, and OlympusAI to manage Medicare billing, NOE compliance, sequential claims, denials, and A/R before revenue gets stuck downstream.

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97%
Clean Claims
SCP Health, 2018
≤5%
Denials
SCP Health, 2018
25
Days A/R
SCP Health, 2018
98%
NCR
SCP Health, 2018

Why Hospice Billing Requires Specialty Expertise

BPH procedures require technology-specific coding
5-Day NOE Deadline

Medicare generally requires the Notice of Election (NOE) within five calendar days of the hospice election. Late filing can leave the hospice financially liable for affected days.

Treatment Approach
Sequential Billing Delays

Hospice claims must be processed in sequence. A rejected or unresolved claim can hold up subsequent billing, delaying reimbursement and increasing A/R.

Uro-oncology documentation drives reimbursement
Level-of-Care Complexity

RHC, CHC, IRC, and GIP each carry specific billing requirements. Revenue codes, Q-codes, dates, and documentation must align with the billed level of care.

Uro-oncology documentation drives reimbursement
Terminal vs. Unrelated Billing

Hospices must determine whether services, medications, and supplies are related to the terminal diagnosis. Incorrect relatedness decisions can lead to denials, compliance risk, and payment recoupments.

Complete Hospice Billing Services

Urology-certified billing specialists
Medicare Hospice Billing

End-to-end Medicare hospice billing across benefit periods, levels of care, claim submission, payment posting, and follow-up.

Front-end revenue protection
NOE & NOTR Management

Manage Notice of Election (NOE) and Notice of Termination/Revocation (NOTR) submissions and associated Medicare billing timelines.

End-to-end revenue cycle support
Sequential Claims Management

Track claim sequencing and resolve billing interruptions before they hold up subsequent Medicare claims.

End-to-end revenue cycle support
Hospice Coding & Claim Validation

Validate levels of care, revenue codes, Q-codes, dates of service, and required claim information before submission.

End-to-end revenue cycle support
Hospice Claim Denial Management & A/R Recovery

Identify denial root causes, manage appeals and follow-up, and work aging accounts to accelerate outstanding revenue.

Get your revenue diagnostic · 30 minutes · Free

Built for the world's best

CFOs.
BCBAs.
surgeons.
ER physicians.
PE platforms.
operators.
30 days.
We diagnose your current state, baseline the leakage, and show you the to-be model.
No commitment.
The diagnostic is free. The findings are yours to keep, regardless of whether we work together.
CFO-grade output.
Board-ready findings memo, quantified leakage estimate, transformation roadmap.

Why Hospices Choose Plutus Health

Hospice RCM Expertise
Specialized revenue cycle expertise for the operational and regulatory complexity of hospice billing.
AI + Human ExecutionOlympusAI identifies and executes defined workflows, while experienced RCM specialists manage exceptions that require human judgment.
Payer IntelligencePayer and billing intelligence helps teams identify recurring patterns instead of repeatedly fixing the same downstream problems.
Financial AccountabilityPerformance stays focused on the numbers leadership cares about: clean claims, denials, Net Collection Rate, A/R, and collected cash.

Get Your Free Hospice RCM Assessment

When You Connect with Plutus Health, You Get:

Hospice-specific RCM expertise
Payer Intelligence Engine
Root-cause denial management
Human oversight for complex exceptions
OlympusAI Agentic AI execution
Medicare Hospice Billing Support
A/R recovery and follow-up
24/7/365 support

Questions Buyers Ask

What happens if a hospice files the NOE late?
How do hospice benefit periods work?
How does the hospice aggregate cap work?
What is the HOPE tool?
Why outsource hospice billing?
What does the Free Hospice RCM Assessment cover?
Get Your RCM Assessment with Discovery call

Built for the World's Best

CFOs.
BCBAs.
surgeons.
ER physicians.
PE platforms.
operators.

30 Days.

We diagnose your current state, baseline the leakage, and show you the to-be model.

No Commitment.

The RCM Assessment is free. The findings are yours to keep, regardless of whether we work together.

CFO-grade output.

Board-ready findings memo, quantified leakage estimate, transformation roadmap.