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Hospice Billing That Gets You Paid — Every Claim, Every Time.

Hayes RCM specializes exclusively in hospice revenue cycle management for Texas providers — with a 97.2% net collection rate and deep expertise in every level of care, every payer, and every compliance requirement your agency faces.

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No contracts · No setup fees · First 30 days free

97.2% Net Collection Rate

As Featured in Becker's Hospital Review

First 30 Days Free — No Risk

Houston, Texas — Serving Providers Statewide

Your Hospice Agency Is Working Too Hard to Leave Revenue on the Table.

The hospice billing environment is unlike any other in healthcare. Four levels of care. Notice of Election timing requirements. Physician and nurse practitioner billing under the Medicare hospice benefit. Texas-specific Medicaid documentation standards. And a denial rate industry-wide that averages 10 to 15 percent — meaning one in every eight to ten claims your agency submits is coming back unpaid.
Most billing companies treat hospice like any other Medicare claim. They do not understand the aggregate cap. They do not know the difference between Routine Home Care and Continuous Home Care documentation requirements. And when a denial lands, it sits in a queue while your cash flow suffers.
The agencies that are winning in today’s hospice environment have made one strategic decision — they outsourced billing to a specialist. According to McKinsey and Company, healthcare organizations that outsource revenue cycle management to specialized partners consistently outperform those that rely on generalist billers or in-house teams on cost efficiency and collection rates. The data is clear. The question is whether your agency is capturing that advantage.

10% – 15%

Industry average hospice denial rate

97.2%

Hayes RCM net collection rate

56,000

More collected per 00,000 billed vs. the industry average biller

Complete Hospice Revenue Cycle Management — From First Claim to Final Payment.

Every service your hospice agency needs to capture full reimbursement — under one roof, managed by specialists who live and breathe hospice billing.

Claims Submission and Management

1

Every claim submitted correctly the first time. We verify diagnosis codes, level-of-care documentation, and payer-specific requirements before a single claim goes out the door. Our first-pass claim standard means fewer denials, faster payment, and more predictable cash flow for your agency.

Denial Management and Appeals

2

Every denial is worked — not written off. When a claim comes back unpaid, our team identifies the root cause, prepares the appeal, and resubmits within five business days. We track denial patterns by payer so we can fix the upstream problem, not just the individual claim.

Eligibility and Benefits Verification

3

Included at no additional cost for every managed care plan. We verify eligibility and hospice benefit coverage before the first claim is submitted — eliminating the most common and most preventable source of hospice billing denials.

Prior Authorization Management

4

All managed care plan authorizations tracked, obtained, and renewed at no additional cost. No more denials from missed or expired authorizations. We manage the prior auth workflow so your clinical team can focus on patient care.

Notice of Election and Revocation Billing

5

Election, revocation, and discharge billing handled precisely and on time — every time. NOE filing deadlines, revocation documentation, and level-of-care transitions are among the most common sources of hospice billing errors. We eliminate that risk entirely.

Physician and NP Billing Under Hospice Benefit

6

Attending physician and nurse practitioner billing managed correctly under the Medicare hospice benefit. This is a specialized billing discipline that most billing companies handle incorrectly or not at all. Hayes RCM manages it as a standard part of every hospice account.

INCLUDED AT NO ADDITIONAL COST

Eligibility and Benefits Verification + Prior Authorization Management for All Managed Care Plans. Most billing companies charge extra for these services — or do not offer them at all. At Hayes RCM they are standard for every hospice account.

Why More Hospice Agencies Are Choosing to Outsource Billing in 2026.

The decision to outsource hospice billing used to feel risky. Today, the data says the opposite is true. McKinsey and Company reports that healthcare organizations outsourcing revenue cycle management to specialized partners consistently achieve better collection rates, lower denial rates, and reduced administrative overhead compared to in-house billing teams.
For hospice agencies specifically, the case for outsourcing is even stronger. Hospice billing is not general medical billing. It requires specialized knowledge of Medicare hospice benefit regulations, level-of-care documentation requirements, Texas-specific Medicaid rules, and payer-specific authorization processes that change regularly. Building and maintaining that expertise in-house requires continuous training investment, and a single compliance gap can cost your agency tens of thousands of dollars.
When you outsource to Hayes RCM, you are not just getting a billing vendor. You are getting a partner with deep hospice billing expertise, a documented 97.2 percent net collection rate, and a commitment to treating your agency like the only client in the room.

Why Outsource — Comparison Points

In-House Billing

  • Continuous training required as regulations change
  • Single point of failure when biller is sick or leaves
  • Generalist knowledge across all billing types
  • Salary, benefits, and overhead costs are fixed Industry average denial rate of 10 to 15 percent

Hayes RCM

  • Regulatory expertise maintained and updated continuously
  • Team-based model — your billing never stops
  • Exclusive hospice and post-acute specialization
  • Percentage of collections only — you pay when you get paid 97.2% net collection rate

Free Hospice Aggregate Cap Calculator — Coming Soon.

The Medicare hospice aggregate cap is one of the most financially significant compliance requirements your agency faces. Exceeding the cap means refunding overpayments to Medicare — sometimes tens of thousands of dollars — and most agencies do not know they are approaching the limit until it is too late.

The Medicare hospice aggregate cap is one of the most financially significant compliance requirements your agency faces. Exceeding the cap means refunding overpayments to Medicare — sometimes tens of thousands of dollars — and most agencies do not know they are approaching the limit until it is too late.

Be the First to Know When the Calculator Launches.

Enter your email and we’ll notify you the moment it goes live — along with a free guide on how to protect your agency from cap exposure.
We will never share your email. Unsubscribe at any time.

Real Results for Real Hospice Agencies.

Our performance numbers are not projections or industry averages. They are our actual results — documented across our client accounts.

hen you outsource to Hayes RCM, you are not just getting a billing vendor. You are getting a partner with deep hospice billing expertise, a documented 97.2 percent net collection rate, and a commitment to treating your agency like the only client in the room.

97.2%

Net Collection Rate

Less than 5%

Denial Rate

Less than 30 Days

Average Days in Accounts Receivable

100%

Claims Worked by Hospice Billing Specialists
quote
— Arianna Lewis
★★★★★

Becker's Recognition Callout

AS FEATURED IN BECKER'S HOSPITAL REVIEW

Hayes RCM was recognized on Becker’s Hospital Review’s list of Revenue Cycle Management Companies to Know — a distinction earned by a select group of RCM organizations demonstrating exceptional expertise and client outcomes in the healthcare billing space.

The Hospice Billing Specialists Behind HospiceBilling.com

HospiceBilling.com is powered by Hayes RCM — a Houston, Texas-based revenue cycle management company founded by Edrick Baham, who brings over 15 years of healthcare industry experience to every client relationship.
Hayes RCM was built on a simple belief: that hospice agencies work too hard caring for patients to lose revenue to billing errors, missed authorizations, or a billing company that treats them like a number in a queue. Every Hayes RCM client works directly with a billing specialist who knows their agency, knows their payers, and knows the Texas-specific regulatory landscape that impacts reimbursement in ways most billing companies are simply not trained on.
We are not a national billing conglomerate with offshore teams processing thousands of claims per day. We are a specialized post-acute billing partner that answers the phone, works every denial, and measures our success by one number — how much of what your agency earned actually ends up in your bank account.

As Featured in Becker's Hospital Review — RCM Companies to Know

15+ Years Healthcare Industry Experience

Exclusive Post-Acute and Home-Based Care Specialization

Houston, Texas — Serving Providers Statewide

HUB Certification — In Progress

Ready to Stop Leaving Money on the Table?

Schedule a free 15-minute discovery call with Hayes RCM. We will review your current billing situation, identify where reimbursement may be leaking, and tell you honestly whether we can help. No pressure. No obligation. Just a real conversation with a hospice billing specialist who understands your world.

Offer Reminder

Your first 30 days are free. Service agreement required. No long-term contracts. You pay only when you get paid.

Contact Details

  • (713) 244-8397
  • Fax: (713) 244-8547
  • [email protected]
  • hayesrcm.com
  • 17350 HWY 249, Suite 220, Houston, TX 77064
  • Monday through Friday, 9:00 AM to 5:00 PM Central