Hospice Billing Cash Flow
Hospice is paid a per-diem rate on recurring daily claims that run past 30 days across Medicaid managed care and Medicare Advantage, while you fund care every day.
The hospice billing problem, solved.
Per-diem claims, days to pay
The squeeze
Daily
per-diem care
Nursing, social work, chaplaincy, and bereavement run every day, while the per-diem revenue extends well beyond 30 days.
The codes Copay purchases.
Each level-of-care per-diem claim is reviewed and funded the next business day. Skilled nursing visits such as G0299 are eligible too.
Explore care setting specialtiesHospice routine home care; per diem
Copay purchases thisHospice continuous home care; per hour
Copay purchases thisHospice inpatient respite care; per diem
Copay purchases thisHospice general inpatient care; per diem
Copay purchases thisHow Copay works for hospice.
Your existing EHR
No changeClaim T2042
Humana · $224.00
Submit per-diem claims as you always have
Your billing team submits each level-of-care claim exactly as they do today. Nothing changes except when you get paid.
Humana
Medicare Advantage eligibility check
We verify in the background
Copay confirms payer and claim data automatically, with no calls from your team.
See the full processBuilt for the hospice per-diem cycle.
Fund daily per-diem care without waiting on the payer.
Copay funds your eligible claims the next business day, so the cash for daily care is there even while the per-diem revenue lags.
How healthcare claims work with CopayFunded by Copay
Daily per-diem care funded every day, even while the per-diem claims behind it are still adjudicating.
Non-recourse
Non-recourse means a denied eligible claim is Copay's loss, not yours.
No personal guarantee
Your home and personal credit are never on the line.
Hospice billing, answered.
No. Copay is not a loan, not factoring, and not a merchant cash advance. Copay purchases your eligible hospice per-diem claims outright and deposits funds the next business day, with no debt and no repayment schedule.
Hospice is dominated by Medicare and Medicaid managed care per-diem payment, so Copay purchases eligible claims billed to traditional Medicare, Medicaid managed care, and Medicare Advantage plans such as Humana, along with commercial plans including UnitedHealthcare and Aetna.
Hospice is paid a per-diem rate by level of care, billed on recurring daily claims that often extend well beyond 30 days across Medicaid managed care and Medicare Advantage plans. Copay purchases those eligible claims and funds them the next business day, so nursing, social work, chaplaincy, and bereavement stay funded every day while the per-diem revenue lags.
No. Your billing team submits routine home care, continuous home care, inpatient respite, and general inpatient claims exactly as they do today. Copay reviews eligibility in the background, and the only thing that changes is when you get paid.
Non-recourse means a denied eligible claim is Copay's loss, not yours. If an eligible purchased hospice claim is denied or underpaid, Copay absorbs the loss with no clawbacks against your agency.
From submitted claim to funded account.
While insurance takes 30 to 90 days, Copay moves in one.
Step 01 · Submit
You submit your claims as normal
Nothing changes about how your billing team works.
Claim #18473
DOS 02/04/24
Hospice routine home care; per diem
Step 02 · Verify & Price
We verify and price in real time
Copay checks payor history and prices the claim at the CPT level.
Underwriting in progress
Step 03 · Approved
Advance approved
Capital is approved and scheduled for next business day deposit.
Advance Approved
$3,000
Net advance
Step 04 · Funded
Capital in your account
While the payor takes 30 to 90 days, you already have your capital.
Your account
$0
Available balance
Copay reconciles automatically when the payor pays. You do nothing.
Get paid on your hospice claims the next business day.
Copay purchases your eligible hospice claims. No loans, no personal guarantee, no workflow change.