Census changes faster than reporting
Admissions, discharges, and length of stay move daily, but financial reports often lag a month behind.
Hospice Financial & Operational Consulting
Financial and operational clarity for hospice administrators.
We connect census, levels of care, per-diem billing, payroll, and the general ledger, so you can see how each patient, team, and payer affects your financial performance.
- CPA-overseen
- Completely remote
- Works with the systems you already use
The challenge
Hospice finance doesn't fit a standard accounting close
Per-diem reimbursement, shifting census, and interdisciplinary staffing make hospice numbers harder to read than most.
Per-diem billing across levels of care
Routine, continuous, respite, and inpatient care each bill differently. Errors in level-of-care or day counts quietly reduce revenue.
Remittances that are hard to tie out
Medicare and Medicaid payments, adjustments, and denials need to reconcile to each claim and to the books.
Staffing cost without a patient-level view
Nurse, aide, and on-call costs are hard to connect to census and revenue, which makes staffing decisions harder.
What we do
Support designed around how hospices operate
Census & patient-level financial reporting
Admissions, discharges, census, and revenue reported together, so trends are visible early.
Revenue cycle management
Per-diem billing and levels of care reviewed from admission to payment. See our revenue cycle approach.
Claims & remittance reconciliation
Medicare and Medicaid claims matched to remittances and posted correctly.
Payroll & staffing oversight
Staffing costs and payroll compared against census and services delivered.
Financial performance monitoring
Monthly reporting on reimbursement trends, margins, and cash, with CPA oversight.
Operational controls
Documentation, approvals, and reconciliations organized for audit readiness. Related: compliance & internal controls.
Technology & reconciliationHow our technology works
Your hospice systems, reconciled in one place
We connect your hospice EHR and clinical management system, billing platform, payroll provider, and accounting software, linking census, admissions, discharges, and documentation to your financial operations.
Administrators see the results in a login-protected client portal, without changing the software their teams already use.
Systems we connect
- Hospice EHR & clinical systems
- Billing platforms
- Payroll providers
- Accounting software
- Census daysPer-diem billing
- Level of careClaims submitted
- ClaimsRemittances
- Staffing hoursPayroll
- RemittancesGeneral ledger
We confirm which connections are available for your systems before you commit.
Business outcomes
What hospice leaders gain
- Census, revenue, and staffing cost in one consistent view.
- Per-diem billing errors caught before they become write-offs.
- Remittances reconciled to claims and to the general ledger.
- Clearer staffing decisions tied to census and reimbursement.
- Records organized for audits and payer reviews.
Example scenario
How a hospice engagement typically unfolds
Assess
We review how census, billing, payroll, and the books flow today, and where they disagree.
Connect
We connect your EHR, billing, payroll, and accounting systems through connections you authorize.
Reconcile
Census days, levels of care, claims, remittances, and payroll are reconciled, and exceptions are flagged.
Optimize
You receive monthly reporting and a CPA-overseen team to help act on what the numbers show.
An illustration of how an engagement typically works, not a specific client's results.
FAQ
Frequently asked questions
Do you work with hospices that also provide home health?
Yes. Many organizations run both lines, and we can report on each separately and together. See our home health agency page for that side of the business.
Can you reconcile billing by level of care?
Yes. We compare census days and level-of-care records against the per-diem claims you submit and the remittances you receive.
Will our clinical staff need to change how they document?
No. We connect to the systems your team already uses and work from the data they already produce.
How do you access our data?
Through secure API or SFTP connections that you authorize. Results are shared in a login-protected client portal, and our privacy policy explains how we handle client data.
Bring census, billing, and staffing into one picture
Talk with YCA Healthcare about where your hospice's revenue and staffing costs are going, and how reconciliation can help.