Working Together to Overcome Hurdles & Get Solutions

At Advanced Revenue Cycle Management, we understand that hospice audits and appeals can be stressful, time-consuming and financially disruptive. Whether it’s an unexpected demand letter or an inaccurate denial, our team is here to help you respond quickly, effectively and strategically.

We often see audits surface a year or more after a claim has been paid, with payers demanding reimbursement—sometimes citing incorrect payment rates, missing authorizations or documentation issues that were not truly errors. These findings can be inaccurate or based on incomplete information, but they still come with strict deadlines and formal instructions on how to dispute them. Failing to act in time can eliminate your ability to escalate the appeal or recover funds.

Why Timing Is Everything

Every audit or demand letter includes a timeline for appeal—often 30 to 60 days. While that may seem like a generous window, waiting too long can be a costly mistake. If the first-level appeal is denied and you’re out of time to submit to the next level, your opportunity to challenge the decision may be lost entirely.

That’s why we always advise our clients: start immediately. The more time you give yourself to gather documentation, craft a response and prepare for potential next steps, the better your chances of successful solutions.

Collaboration and Experience Make the Difference

What sets ARCM apart is our team’s deep knowledge and collaborative mindset. We frequently work across departments and lean on each other’s experience. If one of our team members has handled a similar issue or worked with the same payer, they can offer real, tactical insight like what documentation to include or how to word the appeal for better results.

This shared expertise allows us to stay persistent and proactive, pushing appeals forward until we reach solutions. In many cases, this approach has helped our clients overturn inaccurate findings and recover revenue they may have otherwise lost.

Let Us Help You Navigate the Process

Audits and appeals don’t have to derail your operations. With ARCM by your side, you’ll have a team that understands the process, meets deadlines with confidence and works tirelessly to protect your revenue. Contact us to learn more!