Hospice News April 3, 2025
Holly Vossel

Hospices are traversing complex revenue cycle management processes that can hinder their ability to thrive amid growing demand, rising economic pressures and a complex regulatory environment.

Fielding room-and-board reimbursement for hospice patients in nursing home settings represents a significant challenge plaguing hospices, according to Stephen Phenneger, president and CFO of St. Croix Hospice. The intricacies of the billing process can often create bottlenecks that stymie revenue flow, he stated.

Back-office staff spend a disproportionate amount of time on manual billing reconciliations of room-and-board expenses, Phenneger said.

“The most labor intensive and manual process in our revenue cycle is Medicaid room and board components,” Phenneger told Hospice News. “When you talk to hospice operators that’s a real challenge in managing their...

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