Hospice Practice Management and RCM Billing, Built to Perform

Hospice billing is built on a per-diem reimbursement structure spanning four distinct levels of care, each with its own daily rate and documentation requirements, layered on top of strict timely filing rules for the Notice of Election and an annual aggregate cap that can require agencies to repay Medicare if total payments exceed the per-beneficiary limit. Missing an NOE filing deadline can result in an agency absorbing the full cost of days of care, while cap overages discovered too late create significant financial exposure. Unlimited Systems brings level-of-care precision, NOE deadline management, and proactive cap monitoring into one hospice-focused platform.

A hospice patient's daily level of care, routine home care, general inpatient care, continuous home care, or respite care, can change based on acute symptom management needs, and each level carries a different per-diem rate that must be billed for the exact dates that level was in effect, with general inpatient and continuous home care requiring documentation justifying the higher level of care. The Notice of Election must be filed within 5 calendar days of the start of hospice care, and the agency's total Medicare payments per beneficiary are tracked against an annual aggregate cap amount that, if exceeded, must be repaid.