Hospice EMR & Billing Services That Work For You

Streamline your hospice operations with our comprehensive EMR software and expert billing services. We've helped agencies nationwide recover hundreds of thousands in lost revenue since 2012.

13+

Years in Business

$100K+

Lost Revenue Recovered for Clients

Anytime

Eligibility Response

50+

States Served

Everything You Need to Run Your Hospice

From clinical charting to revenue cycle management, we provide the tools and expertise your agency needs to thrive.

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Clinical Charting

Complete EMR with customizable forms for every discipline. Fully updated for the new HOPE assessment requirements — we've got you covered for CMS compliance.

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Revenue Cycle Management

Our expert billing team manages your entire revenue cycle—from Notice of Elections to claim appeals. We stay on top of your AR daily.

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Electronic Orders

Physicians can electronically sign IDG documents and pending orders quickly. QAPI approval workflow ensures compliance before physician review.

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Historical AR Review

When you onboard, our team reviews your historical claims to find and recover money you didn't know was owed to you.

Billing Dashboard

Expert Billing Services That Maximize Your Revenue

Our dedicated hospice billing team has the experience and knowledge to handle even the most complex billing situations.

  • Notice of Elections submitted and monitored daily
  • Retroactive eligibility and Medicare Secondary Payer (MSP) claims
  • Room and Board billing expertise
  • Claim appeals and follow-up until paid
  • Detailed end-of-month AR aging reports
Learn More About Billing

Already Have an EMR You Love? Keep It.

Most of our billing clients come to us from other EMR systems — and that's perfectly fine. We seamlessly integrate as your dedicated billing partner without requiring you to switch platforms.

Our billing team has deep experience working with the EMRs hospice agencies already rely on:

You focus on patient care. We handle the billing.

Nurse using tablet

EMR Software Built for Hospice

Our EMR is designed specifically for hospice workflows, making documentation fast, accurate, and compliant.

  • HOPE-ready — fully compliant with the Oct 2025 CMS requirements
  • Customizable clinical forms for every discipline
  • Secure digital signatures with unique PIN
  • QAPI approval and correction workflows
  • Electronic IDG meeting support
Explore EMR Features

PPEO Consulting: Protect Your Medicare Enrollment

CMS's Provisional Period of Enhanced Oversight (PPEO) has resulted in 22% of reviewed hospices losing their Medicare enrollment. If you're a new hospice, reactivating enrollment, or undergoing a change of ownership in Arizona, California, Nevada, Texas, Georgia, or Ohio—you need to be prepared.

Our PPEO consultants help hospices survive enhanced oversight:

  • Documentation audits before PPEO begins
  • ADR response strategy and preparation
  • Appeal support for denied claims
  • Staff training on compliance requirements

PPEO Consulting: $300/hour

Schedule a Consultation
PPEO compliance consulting

Look Up Your Hospice's SSVI Score — Free

CMS now publishes a Service and Spending Variation Index (SSVI) score for nearly every U.S. hospice. Search by name or CCN to see your FY2024 and FY2025 score — and how you rank against other hospices.

Check Your SSVI Score

Or see how your state stacks up: SSVI scores by state — the 10 highest scores in each state and the measures behind them.

What Our Clients Say

Hospice agencies across the country trust Hospice Engine for their EMR and billing needs.

"When Hospice Engine took over our billing, they found over $85,000 in old claims we had written off. Their team recovered every penny. I couldn't believe the money we were leaving on the table."
Maria S. Administrator, Central Valley Hospice
"The eligibility team is incredible. We submit a request and usually have an answer within hours, not days. That speed makes a real difference when families are waiting for admission decisions."
James T. Director of Nursing, Bay Area Hospice Care
"We switched from another EMR and the onboarding was seamless. But the real surprise was when their billing team found $42,000 in historical claims our previous biller had missed."
Linda K. CEO, Pacific Northwest Hospice

Ready to Streamline Your Hospice Operations?

Join the agencies who trust Hospice Engine for their EMR and billing needs. Get started with a free demo today.