Hospice
The HomeRun Hospice Module provides tools for the clinical
administration of Hospice and palliative care patients, as well as integrated
financial tools and processes for billing, payment and accounts receivable
functions. These tools are designed to be applicable to the per-diem
reimbursement structure required by most payers that offer a Hospice benefit,
specifically the Medicare Hospice Benefit.
Along with per-diem, HomeRun supports Fee For Service billing for
patients admitted under the Hospice Program. Billing for Hospice care to
Medicare, and to some commercial pay sources, is based on a daily rate
structure depending on the level of care provided to the patient. The four
per-diem Hospice Types are categorized as Routine, Inpatient, Respite and
Continuous Care. Per-diem rates cover all services and supplies that the
patient requires with the exception of certain direct care physician services
that may be billed as a separate line item. Pay sources that do not reimburse
based on daily rates may be billed Fee for Service.
HomeRun is designed to automatically create Hospice per-diem billing
records based on the information that was entered when creating the
patient’s plan of care. Patients admitted to the Hospice Program can have
their plan of care established using one of the four per-diem Hospice Types, if
applicable to the pay source. On a nightly basis, HomeRun electronically scans
the patients’ Hospice plan of care and builds a billing record for the
applicable level of Hospice care for each day defined by episodes. This process
expedites the billing cycle and allows for revenue projections as current as
yesterday. No additional data entry is required to move Hospice care to the
billing process.
Integration
Clinical & Financial
Scheduling and
TimeSheet
Billing / Accounts
Receivable
Medicare Cost
Reporting
Statistical Data
Utilization
Management
Comprehensive
Reporting with XML
based Hyperlink
Technology
Extensive Industry
Knowledge and
Process Support
Document Tracking
that supports
scanned images and
all electronic files
in “Electronic
Filing Cabinet”
Efficiency
Enter data once
Hospice benefit
period tracking
User defined
Certification
Periods
User specified
physician’s orders
or HCFA 485
System-generated
authorizations from
Plan of Care and
ANSI 278 feed
Real-time
authorization
verification in
Scheduling and
TimeSheet
Seamless interface
from Scheduling to
TimeSheet to Billing
Automatic creation
of billing records
for per-diem care
HIPAA PHI Audit
Tracking
Billing
Per-diem and Fee for
Service billing
Ability to
simultaneously bill
Hospice physician
services
Ability to
concurrently bill
Care or Sick
services
Bill by the day,
week or month
Comprehensive
Pre-Bill Claim
Adjudication Audit
Only authorized care
is billed
UB-92, HCFA 1500 and
HIPAA ANSI 837 Feeds
Point and Click
Billing by Payer,
Payer Category or
Patient
Electronic Medicaid,
Medicare and
Contracted Payer
claims
Comprehensive
Accounts Receivable
management with
service level
drill-down
HIPAA ANSI 835
Electronic
Remittance Advice
Hospice
Incorporates the
latest CMS billing
clarifications
Extensive
pre-billing hospice
care audit
Validation of
Routine vs.
Continuous days
Validation of
Continuous hours for
skilled care
Validation of
Respite billing
Validation of
Inpatient stay on
discharge date
Detailed Hospice
Cost reporting
