Accounting and CFO services for hospices
Per diem revenue, levels of care and the Medicare hospice cap make hospice finance different from the rest of healthcare. We keep the books and the forecasts accurate.
The finance challenges hospices face
General accountants often miss what makes this part of healthcare different. These are the areas we focus on first.
Revenue by level of care
Routine home care, continuous home care, inpatient respite and general inpatient care are paid differently and need to be tracked separately.
The hospice cap
Aggregate cap exposure has to be monitored throughout the year to avoid a surprise repayment.
Cost reports and audits
Medicare cost reports and payer audits rely on accurate, well-supported records.
Cash flow timing
Billing cycles, staffing costs, and pharmacy and equipment spend put steady pressure on cash.
How we help hospices
Accounting, audit support and CFO leadership, tailored to how your organization operates.
Accounting
- Monthly close and financial statements
- Revenue tracking by level of care and payer
- AP management, accruals and reconciliations
- Budgeting and forecasting
Audit and compliance
- Medicare cost report audit support
- Insurance and payer reimbursement audit support
- Financial statement audit support for external CPA audits
Fractional CFO
- Hospice cap monitoring and forecasting
- Cash flow forecasting and management
- Profitability analysis by location or program
- Lender, investor and board reporting
Frequently asked questions
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Do you help with hospice cap tracking?
Yes. We track cap exposure during the year as part of our forecasting work, so there are no surprises when the cap year closes.
Can you support hospice cost report audits?
Yes. We prepare supporting schedules and documentation and work with auditors during Medicare cost report and payer reimbursement audits.
Do you work with multi-location hospices?
Yes. We handle multi-location and multi-entity consolidation and report results by location.
Book a free consultation
Tell us about your organization and what you need help with. We typically respond within 24 hours.