Most programs combine several funding sources that can include billing revenue, investment by the home organization, partnership with health plans, and/or grants and philanthropy. Use this toolkit to learn the fundamentals of payment, fee-for-service billing strategies, and other basics of securing revenue.

What’s in the Toolkit

The basics of health care payment and implications for palliative care.

Payment Quick Tips: Understanding Medicare, Medicaid, and Commercial Insurance
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Monograph introducing U.S. health insurance with a focus on Medicare and what it means for palliative care.

Payment Glossary

Defines key terms in payment vocabulary.

Palliative care is reimbursable as professional medical services. These tools can help you optimize your billing.

Optimizing Billing Practices

Toolkit with billing and coding best practices for palliative care services delivered in the hospital or the community.

Part I: Demystifying Billing in Palliative Care and Hospice

In this on-demand webinar, attendees learn the different requirements of time-based and complexity-based billing, including documentation requirements and more. Note that this is part one of a two-part webinar.

Part II: Demystifying Billing in Palliative Care and Hospice

In this on-demand webinar, attendees learn how to document compliantly, combining codes so that the full breadth of the practice is reimbursed—using specific real-life scenarios. Note that this is part two of a two-part webinar.

2022 Work Relative Value Units (wRVU) Table: Palliative Care and Hospice
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2022 at-a-glance listing of all wRVUs relevant to palliative care and hospice services across settings.

Community-Based Billing Estimator
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At-a-glance Medicare RVUs and national non-facility payments for codes commonly used by community-based palliative care programs.

Inpatient Billing and Coding

In this Virtual Office Hour, expert faculty will explore commonly asked inpatient palliative care billing questions and describe billing and coding practices.

Billing for Community-Based Palliative Care

In this Virtual Office Hour, ask questions about billing for services provided in the home, office, or long-term care setting.

Beyond fee-for-service billing, programs garner financial support through their home organization, through value-based arrangements with financial partners, and through philanthropy. These tools and links can help with all approaches.

Tools for Making the Case

These tools can be used to make the case for palliative care investment with organization leaders, health plans, colleagues, and community partners.

Building Financial Relationships
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Resources for palliative care programs working with payers and other financial stakeholders.

Payment Quick Tips: Value-Based Payment Introduction
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Monograph introducing value-based payment and its implications for palliative care.

Payment Quick Tips: Value-Based Payment Capabilities
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Monograph outlining the leadership and operational competencies that palliative care teams need to succeed under value-based payment.

Philanthropy Strategies
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A presentation clarifying how to present and request philanthropic funding for your palliative care program.

Quick Tips: Financing Your Community-Based Palliative Care Program
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Navigating financing strategies for hospice-led palliative care, including Medicare fee-for-service, payment contracts, organizational support, and philanthropy.

Sustainability Strategies for Community-Based Palliative Care

Financial blueprint for supporting rural services. Stratis Health.

Making the Case for Palliative Care: Demonstrating Value through Measurement

This Virtual Office Hour explores best practices in evaluating your program and engaging stakeholders.

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