STOP CHASING CLAIMS.
START GROWING YOUR AGENCY.
YEARS IN BUSINESS
AGENCIES SUPPORTED NATIONWIDE
US-BASED SUPPORT
DISTINCT PAYERS
STOP CHASING CLAIMS. START GROWING YOUR AGENCY.
Let us handle the complexities of hospice billing, including daily NOE management
Keep your agency focused on care, growth, and compliance while keeping cash flow steady.
Hospice agencies can’t afford delays, denials, or compliance missteps. HPS supports hospice billing with daily NOE submission and monitoring, Medicare claim oversight, responsive denial management, and ongoing compliance support to help keep claims moving and your agency survey-ready.
Our U.S.-based billing team works directly in your EMR, manages payer relationships, and delivers clear, transparent reporting so you always know where your claims stand.
Take control of your hospice revenue cycle. Schedule a call with our billing team and see how HPS keeps hospice cash flow moving.
Hospice billing is complex. We make it manageable.
HPS keeps hospice billing moving with daily NOE management, active claim monitoring, and denial follow-up, so your agency stays compliant and cash flow stays steady.
Our U.S.-based billing team works directly in your EMR and provides clear reporting, so you always know where your claims stand.
Take control of your hospice revenue cycle. Schedule a call with HPS today.
HPS delivers hospice billing built for Medicare rules, with daily NOE management, active claim follow-up, and U.S.-based support that keeps cash flow steady.
Hospice billing is complex. We make it manageable.
HPS keeps hospice billing moving with daily NOE management, active claim monitoring, and denial follow-up, so your agency stays compliant and cash flow stays steady.
Our U.S.-based billing team works directly in your EMR and provides clear reporting, so you always know where your claims stand.
Take control of your hospice revenue cycle. Schedule a call with HPS today.
CONFIDENTLY NAVIGATE POLICY AND REIMBURSEMENT SHIFTS
BILL CONFIDENTLY ACROSS A WIDE RANGE OF PAYERS
US-BASED BILLING EXPERTS WHO WORK INSIDE YOUR EMR
KEEP CASH FLOW MOVING, WITHOUT THE BOTTLENECKS
STAY AHEAD OF MEDICARE REQUIREMENTS
GET VISIBILITY INTO YOUR REVENUE CYCLE
DAILY MANAGEMENT OF NOEs & NOTRs
Starting Strong Means Starting Smart
Where Hospice Startups Struggle:
- Setting up payer enrollment, billing systems, and hospice-specific billing workflows correctly from the start
- Delays in initial claims caused by unfamiliarity with Medicare hospice billing requirements and submission processes
- Increased compliance risk related to Notices of Election (NOE), levels of care, and timely claim submission
- Limited internal experience managing denials, T-status, ADRs, and payer follow-up during early operations
How HPS Helps Hospice Startups Launch with Confidence
- Hospice billing setup and startup support to establish compliant billing and collections processes from day one
- Daily management of Notices of Election (NOE), revocations, and terminations to support timely reimbursement
- Hospice billing services designed to promote clean claim submission, faster payments, and early cash flow stability
- Ongoing billing compliance support, claim monitoring, and audit preparedness to help your agency navigate certification and oversight
Explore Startup Services That Build a Solid Foundation
Scale Without Sacrificing Stability
Where Growing Hospice Agencies Struggle:
- Increasing claim volume creating billing backlogs and slower reimbursement cycles
- Inconsistent NOE submission, claim status monitoring, and follow-up as census grows
- Rising denial activity, ADRs, and T-status issues requiring more hands-on billing oversight
- Difficulty maintaining consistent billing processes and payer follow-up during periods of growth
How HPS Supports Growing Hospice Agencies
- Scalable hospice billing and collections services designed to keep pace with increasing census
- Daily NOE, revocation, and claim status monitoring to support timely and accurate billing
- Active denial management, ADR tracking, and payer follow-up to reduce stalled or delayed claims
- Clear billing and collections reporting to provide visibility into performance as your agency grows
Explore Growth Support Services Designed for Expanding Agencies.
Extend Your Internal Team Without Adding Overhead
Where Enterprise Hospice Organizations Struggle:
- Managing consistent hospice billing practices across multiple locations, teams, and payer environments
- High claim volume increasing exposure to delayed payments, denials, ADRs, and Medicare T-status issues
- Greater audit and regulatory scrutiny requiring disciplined billing oversight and documentation tracking
- Limited system-level visibility into billing performance, outstanding risk, and cash flow trends across sites
How HPS Supports Enterprise Hospice Systems
- Enterprise-scale hospice billing and collections services that support consistency across locations
- Centralized monitoring of NOEs, claim status, denials, ADRs, and payer follow-upCentralized monitoring of NOEs, claim status, denials, ADRs, and payer follow-up
- Billing compliance oversight and audit preparedness aligned with Medicare hospice requirements
- Detailed, consolidated billing and collections reporting to support leadership-level visibility and decision-making
Discover Enterprise and Overflow Solutions That Protect Revenue and Compliance
What You Can't See Can Cost You.
Keep Teams in Sync, Without Adding Complexity.

HIPAA Compliant & Secure
One Portal. Total Oversight.
Track Progress. Manage Deliverables. All in a purpose-built portal.
WHY AGENCIES CHOOSE HPS FOR
HOSPICE BILLING
Outsourcing hospice billing shouldn’t create risk. With HPS, compliance and financial stability are built into every claim. Our U.S.-based team, no offshoring, performs billing compliance audits on all Medicare final claims and conducts annual on-site clinical compliance audits at no added cost. We monitor Medicare T-Status and ADRs daily, filing NOEs and NOTRs on time, so issues are resolved before they disrupt your revenue cycle. The result? Consistent cash flow and survey-ready compliance, without the burden on your staff.
We don’t just process claims, we make sure you stay in control of your revenue cycle. The HPS client portal gives your team direct access to the status of billed and unbilled claims, claim history, and supporting documentation, whenever you need it. No waiting on updates or chasing down information. Beyond the portal, your HPS billing team works directly in your EMR, manages payer accounts, and keeps your billing process aligned with compliance and growth goals. With us, billing is never “handed off,” it’s managed as an extension of your team.
Expanding into Medicare Advantage and other payer networks can be complex, but with HPS, it doesn’t have to be. Our specialists guide you through contract review, credentialing, and negotiations, ensuring you’re set up for long-term financial sustainability. Once payers are added, our billing team manages filings, electronic billing, denial turnaround, and collections with accuracy and speed. This combination of payer growth strategy and billing execution helps hospice agencies expand networks and revenue streams, without the administrative burden.
A Billing Partner That Works Like Your Own Team
U.S.-based specialists who handle your hospice billing so your agency can scale, stay compliant, and return focus to patient care.
At HPS, we operate as an extension of your agency, working directly in your EMR, managing payer accounts, and ensuring compliance audits and denials are handled without burdening your staff. With no offshoring, you get consistent communication, accountability, and results you can trust. The payoff? Your team spends less time on administrative overload and more time caring for patients, while your agency gains the bandwidth and billing strength needed to grow and scale with confidence.
Free your team to focus on care, and let HPS power your growth. Schedule a call today!
A Billing Partner That Works Like Your Own Team
U.S.-based specialists who support hospice billing by working directly in your EMR and managing payer activity, so your team stays focused on care, not administrative burden.
With HPS, you get consistent communication, accountability, and billing support that scales as your agency grows.
Free your team to focus on care, and let HPS power your growth. Schedule a call today!
U.S.-based specialists who support hospice billing by working directly in your EMR and managing payer activity, so your team stays focused on care, not administrative burden.
U.S.-based specialists who support hospice billing by working directly in your EMR and managing payer activity, so your team stays focused on care, not administrative burden.
With HPS, you get consistent communication, accountability, and billing support that scales as your agency grows.
Free your team to focus on care, and let HPS power your growth. Schedule a call today!
Free Receivables Evaluation
Your A/R deserves a clear diagnosis. Get a focused receivables evaluation built for your agency.
Free AR Evaluation Analysis
Gain clear visibility into your receivables, build confidence in your billing performance, and take a proactive approach to managing cash flow.
- Clear visibility into how your receivables are performing
- Insight into what’s working well and where payments may be slowing
- A proactive way to manage cash flow with confidence
Confidently Navigate Policy and Reimbursement Shifts
CMS Rule Tracking
100% US-Based Team
On Call Consulting
Regulatory Education & Oversight
Join The HPS Alliance!
With an annual subscription to the HPS Alliance, you’ll gain access to the tools needed to build and sustain a successful agency. Led by Melinda Gaboury, CEO – and our team of clinical consultants – our exclusive webinars, workshops, resources and consulting will empower your agency to achieve success!
FEATURED TRAINING & SERVICES
The HOPE Tool: Be Prepared for HOPE Success
HPS Free Webinar: Hospice Billing Update 2025
Billing Consultant on Call
RECENT ARTICLES
2027 Hospice Proposed Rule: Key Payment Updates, SSVI, and What Providers Need to Know
The Hospice 2027 Proposed Payment and Wage Index Rule has officially been released, and it’s one of the most comprehensive updates the hospice industry has seen in recent years. Issued at the beginning of April, this proposed rule goes beyond routine payment adjustments, introducing a broader range of policy updates and new considerations that providers need to understand and prepare for.
A Guide to Notice of Termination/Revocation (NOTR) Compliance
Understanding hospice billing requirements is critical to maintaining compliance and avoiding disruptions in patient care. When a hospice patient is discharged alive or elects to revoke their hospice benefit, the provider must submit a Notice of Termination/Revocation (NOTR).
Understanding the Updated Advanced Beneficiary Notice of Non-Coverage Form
An important update providers should implement immediately is the revised fee-for-service ABN, or Advanced Beneficiary Notice of Non-Coverage form. This form is used when a patient requests, or is expected to require, services that are not covered by Medicare, making it a critical component of both patient communication and proper billing practices.


