AI Hospice Compliance Software: Audit 100% of Your Charts
Medicare auditors are scrutinizing hospice documentation harder than ever. Brellium audits every chart before submission so you have zero risk of clawbacks, guaranteed.
100% of charts. Backed by our clawback protection guarantee.
Trusted by leading Hospice Organizations
Surviving a Medicare Audit on Your Hospice Charts
MACs and UPICs are targeting face-to-face encounters and terminal-prognosis documentation. A single gap can deny an entire benefit period, putting months of revenue at risk per patient.
Manual review can't catch what a benefit-period audit will. Brellium audits 100% of charts for eligibility and documentation quality before claims go out.
How Brellium Audits 100% of Your Hospice Charts
Brellium connects to your EMR and audits every chart automatically, no manual uploads or sampling, checking eligibility and documentation quality against 100+ Medicare requirements.
CTI & Certification Auditing
Validate that every Certification of Terminal Illness includes specific, measurable clinical decline indicators.
Face-to-Face & Recertification Compliance
Flag patients approaching or past face-to-face encounter deadlines.
Nursing Note & Cross-Document Consistency
Check individualized detail and consistency across CTI, F2F, and SN notes within a benefit period.
Clawback Protection
Backed by Confidence Coverage: If a Brellium approved document triggers a clawback, Brellium will cover it.
Standard Deployment
- 100% pre-bill compliance audit of Skilled Nursing notes, CTI, and F2F encounters
- Flags missing signatures, weak or boilerplate decline narratives, contradictions, copy-paste language
- Credential and timing validity checks
- Cross-document consistency within a benefit period
- HCHB / Kinnser (WellSky) / Axxess / MatrixCare EMR support
- Confidence Coverage clawback guarantee
Enterprise Customization
- Scanned-document and handwritten note processing
- Alignment-with-plan-of-care checks
- EMR integrations outside HCHB/Kinnser/Axxess/MatrixCare
Common Hospice Compliance Risks Brellium Catches
Insufficient Clinical Justification for Terminal Prognosis
OIG-HHS has flagged this as a top audit target.
F2F Encounter Timing Gaps
Flags patients approaching or past face-to-face encounter deadlines.
Templated or Generic Visit Notes
Detects boilerplate decline narratives and copy-paste language standing in for individualized observations.
GIP Level of Care Without Acute Symptom Evidence
Catches inpatient documentation lacking required evidence of acute symptom management needs.
Missing or Late Signatures
Flags missing signatures and credential or timing validity gaps.
Cross-Document Contradictions
Catches inconsistencies between CTI, F2F, and nursing notes within the same benefit period.
100+ Additional Requirements
Checked against 100+ payor, regulatory, and clinical criteria. Updated automatically.
Impact for hospice organizations
The outcomes hospice organizations see when every chart is audited before it reaches Medicare.
Built for How Hospice Compliance Works at Scale
Eligibility Is the Entire Risk
Brellium tracks certification, recertification, and decline-narrative consistency across every benefit period.
One Gap, One Whole Period at Risk
Medicare caps aggregate annual payment per agency. A clawback eats into that cap across your entire census.
100% Chart Coverage. Zero Clawbacks.
Manual review can't catch every documentation gap. Brellium checks every chart, backed by our clawback guarantee.
FAQs About Hospice Compliance
What is a Certification of Terminal Illness (CTI)?
A CTI is the documentation certifying a patient’s terminal prognosis. To hold up under audit, it needs specific, measurable clinical decline indicators, not general or templated language.
What are the face-to-face requirements for hospice recertification?
A face-to-face encounter is required ahead of certain recertification periods, and missing that window is one of the most common gaps Medicare reviewers flag. Brellium tracks approaching and passed F2F deadlines automatically.
What triggers a hospice Medicare audit (ADR, TPE, RAC)?
Typically documentation gaps: weak terminal-prognosis justification, missed face-to-face windows, notes that don’t reflect individualized care. OIG-HHS has flagged inadequate terminal-prognosis documentation as a top audit target.
What documents does Brellium review for hospice?
Brellium reviews CTI documentation, face-to-face encounter notes, and skilled nursing visit notes, against Medicare Conditions of Payment and OIG audit criteria before a claim is submitted.
Why is it important for hospices to proactively review notes?
A single documentation gap can deny an entire benefit period, not just one claim. So reviewing 100% of charts before submission catches gaps before they become denials.
We use Scribe to create our notes. Do we still need compliance software?
Yes. Scribe helps you write notes faster, but it doesn’t check whether those notes meet Medicare’s documentation and eligibility requirements. Brellium audits the notes your Scribe produces.
Which EMRs does Brellium support for hospice?
Brellium supports HCHB, Kinnser (WellSky), Axxess, and MatrixCare. EMRs outside this set are custom-built.