Get your hospice seller's charts ready before the buyer reads them
In a hospice deal, the buyer's team reads a sample of charts. If a record does not support eligibility for the days billed, the buyer finds it late, when it costs time and price. We help your seller find it first.
What buyers look for
- Does each record support a terminal prognosis for the days billed? At CGS, one of the Medicare contractors that review hospice claims, this was the reason for 53.6% of denials in targeted reviews from April to June 2026.
- Do the election statement and addendum meet 42 CFR 418.24? Invalid notices of election were the next most common reason at CGS, at 26.4%. From 1 Oct to 31 Dec 2026, CMS says Medicare contractors will not deny claims solely because the addendum is missing or incomplete.
What we check
- A sample of recertification (recert) charts, against what a Medicare reviewer asks for first. Every finding cites the page in the chart.
- The seller's blank election statement and addendum forms. This step needs no patient data.
- A US RN signs off on every finding.
How it works
- Your seller signs a business associate agreement (BAA) with us.
- US hospice nurses review the agreed sample.
- Your seller gets a gap list with page references. Their own clinicians decide what to do.
What we never do
- Decide eligibility. The hospice physician decides.
- Write or change a chart. Any correction is a dated late entry by the hospice's own staff.
- Soften findings. The report says what the record shows.
- Contact patients or families.
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