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.
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 winning in today's hospice environment have made one strategic decision — they outsourced billing to a specialist. According to McKinsey & Company, healthcare organizations that outsource RCM to specialized partners consistently outperform those that rely on generalist billers on cost efficiency and collection rates.
Every service your agency needs to capture full reimbursement — under one roof, managed by specialists who live and breathe hospice billing.
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. Fewer denials, faster payment, more predictable cash flow.
Every denial is worked — not written off. We identify the root cause, prepare the appeal, and resubmit within five business days. We track denial patterns by payer to fix the upstream problem, not just the individual claim.
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 denials.
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 patients.
Election, revocation, and discharge billing handled precisely and on time — every time. NOE filing deadlines and level-of-care transitions are among the most common sources of hospice billing errors. We eliminate that risk entirely.
Attending physician and nurse practitioner billing managed correctly under the Medicare hospice benefit — a specialized discipline most billing companies handle incorrectly or not at all. Standard at Hayes RCM.
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.
The decision to outsource hospice billing used to feel risky. Today, the data says the opposite is true. McKinsey & Company reports that healthcare organizations outsourcing RCM to specialized partners consistently achieve better collection rates, lower denial rates, and reduced administrative overhead.
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. 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.
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.
Hayes RCM is building a free, interactive Hospice Aggregate Cap Calculator allowing any hospice agency to enter patient count and reimbursement figures and instantly see their cap limit, current exposure, and remaining headroom. No signup required. No cost. Launching soon.
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.
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Not projections or industry averages — our actual results, documented across client accounts from January through April 2026.
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.
Client testimonials coming soon. If you're a current Hayes RCM client, we'd love to hear from you — reach out to info@hayesrcm.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.
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.