Pediatric palliative care leaders have to consider a number of different funding strategies and opportunities in order to provide comprehensive, quality care. This toolkit provides guidance for designing a business plan and budget, navigating concurrent hospice care, and utilizing effective billing practices.

What’s in the Toolkit

Pediatric palliative care programs use various funding sources to cover their costs. Use this toolkit to ensure your program is utilizing effective fee-for-service billing strategies, and securing long-term revenue.

Program Financing Strategies and Guidance for Pediatric Palliative Care Teams

In this webinar, presenters will share specific and practical guidance on how pediatric palliative care teams can navigate concurrent care hospice billing.

Pediatric Concurrent Care Guidance Tracker

This tracking tool directs palliative care programs to their own state’s regulatory guidance on patient eligibility and service inclusions/exclusions to bill for concurrent services.

Program Financing Strategies and Guidance for Pediatric Palliative Care Teams

In this webinar, presenters will share specific and practical guidance on how pediatric palliative care teams can navigate concurrent hospice billing, and more.

The Financial Case: Demonstrating Value in a Pediatric Palliative Care Program
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This document covers the importance of a pediatric palliative care business case for sustainability. Considerations include estimating patient volume, funding assumptions, and financial modeling. A worksheet is included to explore how to match your institution’s financial goals with different value propositions.

Creating a Financing Analysis Model for Pediatric Concurrent Care: A Pilot Study

This poster session discusses a study to create a financing analysis model for pediatric concurrent care or Concurrent Care for Children Requirement (CCCR).

NHPCO Concurrent Care for Children Toolkit

NHPCO developed tools for the Concurrent Care for Children Implementation, including information on the options available to states implementing Section 2302 or considering expansion of pediatric palliative care services.

Pediatric palliative care is reimbursable as professional medical services. The codes that are used for billing are the same for pediatric and adult populations. These tools can help programs optimize billing.

The Palliative Care Team: Who Can Bill?
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How the interdisciplinary team can bill, and the differences between Advanced Practice Provider (APP) independent and APP 'incident to' or 'shared visits' billing.

Pediatrics: Elements of Evaluation and Management (E/M) Billing and Coding: ICD-10, Complexity vs. Time-Based Billing, and Place of Service (POS)
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This document provides specific details on on time-based vs. complexity billing, including a pediatric case example.

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.

Engaging and Retaining Philanthropic Support: Audience-Based Communications (ABC) Strategy for Philanthropy
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This six-step worksheet will assist in developing key messages to engage your development office and your potential donors to secure philanthropic support.

Guidance, budgeting tools, and templates for pediatric palliative care programs.

The Basics of Business Planning for Pediatric Palliative Care
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This slide deck defines the essential components of business planning for pediatric palliative care. It will help you articulate the value your program will offer and how your program’s service features influence your business plan.

Budget Model Worksheet for Pediatric Palliative Care Programs
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Annotated budget worksheet that can be customized based on your pediatric program's patient, service, and staffing assumptions.

Financial Analysis and Budgeting Tool for Community-Based Palliative Care
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Customizable workbook for community-based programs to create cost projections and key financial stats.

Understanding Costs and Prices: Companion Guide for Financial Analysis and Budgeting Tool
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Qualitative explanation of budgeting and finding opportunities for cost-efficiency.

Business Planning for Palliative Care Programs

This Virtual Office Hour covers business planning for new or growing palliative care programs across settings.

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