Annie verifies Medicare hospice eligibility in real time, tracks benefit period recertification deadlines, and monitors payer changes so your admin team stops losing revenue to paperwork gaps.
Hospice referrals come from hospitals, SNFs, oncologists, and PCPs, often during a family crisis. Annie captures every referral immediately, verifies the patient isn't already elected with another hospice, confirms the attending physician is on file, and flags missing face-to-face attestation so your intake team converts faster without compliance gaps.
Annie verifies Medicare hospice benefit status in real time: which benefit period the patient is in (first 90, second 90, unlimited 60-day), whether there are conflicting Part A or Part B claims, and related vs. unrelated diagnosis coverage. For dual-eligible patients in SNFs, Annie surfaces Medicaid room and board eligibility automatically.
Payer rules, cap calculations, and recertification windows shift constantly. Annie monitors CTI recertification deadlines before benefit periods expire, tracks revocation and re-election status changes, flags patients approaching aggregate cap thresholds, and alerts your team when MAC or ZPIC policy updates affect your active census.
Let Annie handle your intake, insurance, and authorizations 24/7.