A Software and Billing Platform
for Hospice & Palliative Care Providers 

Claimocity offers a variety of credentialing support services customized to the needs of our RCM customers to make the process easy, understandable, and predictable.  Our expert Credentialing Specialists possess a deep understanding of the intricacies involved in the credentialing process, encompassing state and payor-specific regulations. 

We integrate with both public and private hospital systems via HL7 ADT feeds from Cerner, Epic and MediTech.  For post-acute care, we have direct partnerships with PointClickCare (PCC), MatrixCare, SigmaCare and American HealthTech (AHT).  If an EHR is not listed here, integration may still be possible. We will integrate with any facility willing to engage with us on a project.  

The Claimocity platform provides simplified MIPS attestation with charge capture.  Practices configure the appropriate MIPS measures that will be reported for the calendar year and providers attest to MIPS for appropriate patient encounters.  Claimocity has partnered with Patient360 as our fully-integrated CMS Qualified Registry solution to deliver MIPS reporting.   

Yes. Palliative care is billed like most specialty care. Patients can keep receiving curative treatment, and physicians bill standard E/M and advance care planning codes under Part B. Hospice is different. Once a patient elects the Medicare hospice benefit, care related to the terminal diagnosis is covered under that benefit. An attending physician who isn’t employed by the hospice has to add the GV modifier to their claims. Care unrelated to the terminal condition needs the GW modifier. If those claims go out without the right modifier, they’re denied as hospice-covered. Claimocity’s charge capture software flags these modifier requirements at the point of care, so your claims go out right the first time.

Advance care planning is one of the most common. Codes 99497 and 99498 are time-based, and the documentation needs to show the time spent and that the conversation was voluntary. These codes also can’t be billed on the same date as critical care. Same-day E/M and ACP need the right modifier. Problems also come up when a palliative patient moves into hospice and the claims don’t change with them. A missed GV or GW modifier after the hospice election date will get the claim denied. Our RCM team catches these status changes before they turn into lost revenue.

Your onboarding is led by revenue cycle experts who know your specialty, service locations, and the best practices for getting paid, enrolled, and credentialed. From there, our Implementation Team manages the whole process and timeline, so your billing and credentialing move over smoothly with minimal delay.

Claimocity offers a user-friendly design with no training required, but access to our extensive training library is available. Our US-based support team, achieving an 87% one-minute response rate, is easily reachable by phone or chat. With a 9 out of 10 customer satisfaction rating, we guarantee top-tier service as your trusted partner.