Hospice Management Services

What we do

Leverage your agency’s key resources in hospice management services with the expertise of our dedicated team.

The team of certified medical professionals at LKN Strategies is certified by AAPC, with their knowledge guaranteeing the highest level of precision for CCI edits. To ensure that there are no mistakes in the patients’ medical records, procedural and diagnosis codes are used precisely. Coding denials are avoided, and justification of medical necessity is supported, by rigorously adhering to the rules established by the Local Coverage Determination (LCD) and recognizing the importance of Current Procedural Terminology (CPT-4) and ICD-10 CM codes. This ensures that revenue loss will be avoided. 

HOSPICE CODING

The hospice industry is always changing as new regulations are put into place every year. 

It can be difficult to keep up with the changes, but we can guarantee that we will stay up-to-date with the changes with the help of our certified medical coding specialists having extensive experience with hospice coding. 

The team of coding experts at LKN Strategies stays updated with all regulatory requirements such as: 

  • ICD-10 coding  
  • Hospice Item Set (HIS) 
  • Hospice Outcomes & Patient Evaluation (HOPE) 
 

Outsourcing your Hospice Coding services enhances overall productivity for your organization. By choosing to partner with us, we’ll make sure that the transition will be as smooth as possible, avoiding unnecessary interruption to your current company processes, while making sure that the coding and record review are done with the highest standard possible. Any foreseeable conflicts and bottlenecks are avoided by regularly assessing the company’s possible areas of improvement. 

Healthcare staff are given the chance to concentrate more on patients by spending less time on administrative activities, increasing patient satisfaction as well as the overall productivity and efficiency of healthcare workers. 

 

HOSPICE BILLING SERVICES

In order to optimize profit and cash flow, LKN commits to assisting with billing that is error-free, compliant, and done on time. Other procedures, such as hiring and training new hires or staff turnover may face additional unforeseen difficulties which could all be avoided by choosing to outsource hospital billing services. Important resources can then be diverted to other company needs.  Maintaining a well-organized revenue cycle is crucial for maximizing profits and ensuring resource availability for top-notch patient care. The goal of LKN’s billing services is to provide a feedback loop with the maximum amount of transparency all the while maintaining efficiency, accuracy, and compliance, thus giving your company a competitive edge and ensuring revenue growth.  

The LKN team collaborates with your hospice organization to: 

  • Quickly carry out payments 
  • Lower the likelihood that claims may be denied 
  • Investigate unpaid claims and do a routine follow-up. 
 

With our promise of utmost transparency, we offer round-the-clock access to dashboards, updating the status of every claim in real-time, and increasing awareness of refused requests. Our standardized platform integrates with your Electronic Medical Records seamlessly and continuously, enabling you to plan your submissions on time and in accordance with all Medicare standards.  

COMPLIANCE SERVICES FOR HOSPICE

Every year, more rules are put in place, and hospice care is always changing, which necessitates the ongoing implementation of new policies and processes as well as staff training. Having a hospice specialist on your side would be beneficial as we promise to assist in lowering financial and compliance risks.  

The following services are offered by LKN in order to successfully manage a hospice agency: 

  • Details about Medicare coverage eligibility 
  • Program management that is organized and efficient 
  • A thorough analysis of hospice compliance  
  • Accurate and proper documentation procedures 
  • Expertise in both clinical and regulatory reviews 
  • Assisting with improving the quality and overall performance of your agency 

Systematic audits are performed on both short-term and long-term procedures. This is offered to aid your hospice personnel in becoming informed about audits. To evaluate prospects for agency changes, pertinent recommendations are presented. 

Grow your productivity with our cost-efficient home health medical coding services.

Guarantee success no matter what stage you are at in starting a home health care agency with our knowledgeable and experienced certified consultants.
LKN Strategies

5 STAGES OF CMS APPEALS

STAGE
1

Redetermination

When initial review is denied for PCR; PPR; ADR; UPIC; RAC, etc. and providers of the claim is denied, you have 120 days to submit a Redetermination Request (30 days from date of initial decision demand to avoid recoupment). This request is handled by the Medicare administrative contractor (MAC). If the claim is denied you have 60 days to submit an appeal request to level 2 to avoid recoupment.
STAGE
2

Reconsideration

Reconsideration is step 2 in the appeals process. You have a maximum of 180 days to submit your appeal. You will submit your documentation with the request for reconsideration and a detailed "rebuttal" of the reason(s) you disagree with the decision made at level 1. This review is completed by qualified independent contractors. If denied, you may move to stage 3. You have 60 days from date of receipt of Reconsideration.
STAGE
3

AU

At level 3 you will have a chance to present your appeal case to an Administrative Law Judge. You will need to submit a request and a detailed rebuttal as to why you disagree with the level 2 appeal decision. Your claim will only be elevated to level 3 if it meets the minimum dollar amount. For 2022, the required minimal amount is $180.00 If denied, you may try stage 4. You have 60 days from date of receipt of AL decision.
STAGE
4

MAC

The Medicare Appeals Council reviews the appeal decision made by the AU. If the claim is denied, you have 60 days to submit a request for judicial review by a federal district court.
STAGE
5

Federal Court

To get a judicial review in federal district court, the amount of your case must meet a minimum dollar amount. For 2022, the minimum dollar amount is $1760. You may combine claims to meet this dollar amount. Follow the MAC's decision letter you received at level 4 tafileacomnaint.
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