Pre-Billing Best Practices: Getting Level of Care Right

Accurate billing starts long before a claim is submitted. In hospice care, one of the most critical and commonly overlooked areas is documenting and billing the correct level of care. Because Medicare reimburses each level differently, even small gaps between clinical documentation and billing workflows can lead to denials, audits or unintentional overbilling.

That’s why a strong pre-billing checklist matters. Reviewing level-of-care transitions, confirming EMR updates, and clarifying responsibility between clinical and administrative teams helps ensure every claim reflects the care actually provided. When billing accuracy and clinical documentation are aligned, providers protect revenue, reduce compliance risk and maintain confidence across every payer.