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Questions, answered

The questions agencies ask us.

The honest answers hospice leaders want before they hand over documentation, compliance and billing, how onboarding works, what we cover, how revenue is protected, and exactly how your data is handled. If your question isn't here, ask us directly.

24/7after hours coverage ethos, a referral is never left waiting
HIPAAsigned BAA from day one, before we touch a chart
Hospice nativebuilt for hospice, not bent to fit

Getting started.

What the first few weeks look like, how onboarding runs, what changes for your team, and what doesn't.

How does onboarding actually work?
We start with a discovery call to learn your state rules, your current workflows and where the pain is. From there we map your processes, agree on what we own versus what stays with your team, and phase in support so nothing drops during the switch. You'll have a named point of contact from day one, not a ticket queue.
Do we have to replace our EHR?
No. For our core documentation, compliance and billing support we're EHR agnostic. We work inside the system you already run, whether that's a national platform or a legacy one. If you'd rather move to a hospice native EHR, our Digital Solutions team can migrate you 1:1 without losing a chart, but that's an option, never a requirement.
How fast can we go live?
Most agencies are up and running in a matter of weeks, not months. Because we plug into your existing EHR, there's no rip and replace, the timeline depends mainly on census size and how many workflows you want us to take on at once. We'll scope it precisely in discovery so you can plan around it.
Are we locked into a long contract?
No multi year lock in. We'd rather earn the relationship month over month than trap you in it. Terms are transparent and scoped to what you actually need, and you can scale support up or down as your census and priorities change.
Will this disrupt our clinical team?
The opposite is the point. We take the documentation and back office weight off your nurses so they can spend their time at the bedside, not in the chart. Field staff keep charting the way they know; we handle the review, the follow up and the paperwork behind it.

Services & compliance.

What our support actually covers, and how we keep you audit ready without a fire drill.

What does documentation support include?
We review clinical notes for completeness, consistency and eligibility support, making sure the narrative, the plan of care and the visit record tell the same story. That covers admission documentation, IDG summaries, recert paperwork and the eligibility narrative that has to hold up under scrutiny. Your clinicians chart; we make sure the chart is right.
Are you ready for HOPE?
Yes. We track the HOPE tool's timepoints (admission, the HOPE Update Visit (HUV) and discharge) and the symptom follow up windows that come with them, so nothing lapses unnoticed. We help you capture the required items at the point of care and validate the dataset before it leaves your agency, and we keep pace as CMS guidance evolves.
Do you help with ADR and TPE audits?
We do. When an ADR or TPE lands, we help you assemble the record, tighten the eligibility narrative and respond within the deadline, not scramble for it. Because we've been keeping your documentation audit ready all along, the response is a matter of pulling a clean file together, not rebuilding one under pressure.
Do you employ clinical reviewers?
Yes, through HospiceMD, our clinical review arm. Real hospice experienced clinicians review the work, so eligibility judgment and documentation quality come from people who've sat in IDG, not from a checklist alone. That clinical eye is what separates support that keeps you compliant from support that just reformats notes.
What if we're already behind on compliance?
That's exactly when agencies call us, and it's not a problem. We start with a review of where the gaps are, triage the highest risk records first, and put a steady process in place so you stop falling behind. No judgment, just a plan to get you current and keep you there.

Billing & revenue.

How we protect the cash flow, from the NOE clock to a clean claim to the audit that tries to claw it back.

Do you manage our NGS / MAC portals?
Yes. We work directly in your MAC portal (NGS, Palmetto, CGS, whichever governs your region) to submit, track and reconcile. That means eligibility checks, claim status and remittance follow up happen where they actually live, not in a spreadsheet that's a step behind the payer.
How do you track NOE and recert deadlines?
We watch the clock so you don't have to. Notices of Election have a five day filing window, and a late NOE means you eat the days, so we track every admission's NOE and every benefit period's recert deadline weeks out, surfacing them before they're due rather than after they've cost you.
What is clean claim verification?
Before a claim goes out, we check that the documentation, the level of care, the orders and the visit record all line up, the mismatches that trigger rejections and take backs. A clean claim is one that's right the first time, so you're not chasing resubmissions or watching days to pay stretch out while a fixable error sits in a queue.
What does "Revenue & Audit Shield" include?
It's our top tier, and it wraps documentation, billing and audit defense into one protective layer: proactive documentation review, NOE and recert tracking, clean claim verification, and full support when an ADR or TPE arrives. The idea is simple, protect the revenue on the way in and defend it if a payer comes back for it. See the full breakdown on our Tier 3 plan.
Can you help us reduce claim rejections?
That's most of the value. Rejections come from documentation and billing telling different stories, a level of care that doesn't match the orders, an eligibility narrative that doesn't support the claim. By catching those before submission and keeping the record consistent, agencies typically see rejections drop and their revenue arrive faster and more predictably.

Security & data.

Where your data lives, who can see it, and the one thing we will never do with your charts.

Are you HIPAA compliant, and do you sign a BAA?
Yes to both, and the BAA comes first. We handle protected health information only under a signed Business Associate Agreement, in line with HIPAA's Privacy and Security Rules. Your agency remains the covered entity and controls the data; we act on your instructions with administrative, physical and technical safeguards in place. Read more on our Security page.
Where does our data live?
Your PHI stays in your EHR, we work inside the system you already control rather than copying charts into ours. Where we do process or store data to deliver a service, it sits in HIPAA aligned, US based infrastructure, encrypted in transit and at rest, with access logged. Your record stays your record.
Do you train AI on our patient charts?
No. We do not use your PHI to train AI models, and we never will. Where AI assists our work (chart QA, eligibility checks), it runs against your data to serve your agency, not to build a model on the back of it. Your charts are used to help your patients, full stop.
Who on your team can access our data?
Only the people assigned to your agency, and only what their role requires. Access is role based and logged, the right chart to the right reviewer and nothing more. No one browses your records for curiosity, and every touch leaves an audit trail we can show you.
What happens to our data if we leave?
It's yours to take. Because your PHI lives in your own EHR, there's nothing to extract you from, and any working data we hold is returned or destroyed per the terms of the BAA when the relationship ends. No hostage taking, no export fee. See our Privacy Policy for the specifics.
Questions, answered

Still have questions?

If your question isn't answered here, ask it directly. Bring us your workflows, your compliance worries and your billing pain points, we'll give you straight answers and show you exactly how we'd support your agency, before you commit to anything.