Hospice Quality Solutions partners with hospice providers to navigate CMS audits with confidence, strengthen compliance, and protect revenue. We specialize in audit readiness and support for TPE, SMRC, UPIC, and ADR reviews — helping organizations understand audit selection criteria, identify documentation risks, and prevent costly denials.
Our team transforms audit data into defensible documentation strategies that enhance quality and ensure regulatory alignment. In addition, we provide Defensible Documentation Training to help clinical teams document eligibility clearly, consistently, and confidently — building a culture of compliance that lasts.
CMS audits have become the new norm in hospice care, reflecting the industry’s growing focus on accountability and quality. For providers, that means readiness can’t wait until the letter arrives. Hospice Quality Solutions helps hospices stay prepared year-round through proactive guidance, clear documentation strategies, and practical staff education. We make compliance manageable — so your team can focus on delivering exceptional care while we protect the revenue that sustains it.
Hospice Quality Solutions
About
At Hospice Quaility Solutions, we help hospice providers navigate the complexities of CMS audits and regulatory compliance with confidence and clarity. Our team understands that caring for patients and families is your top priority, which is why we focus on the critical—but often overwhelming—work of preparing for and responding to Centers for Medicare & Medicaid Services (CMS) audits.
With deep knowledge of Medicare regulations, documentation requirements, and audit protocols, we provide expert guidance to help hospices stay compliant, protect reimbursements, and avoid costly penalties. From proactive compliance assessments to audit preparation and post-audit support, we tailor our consulting services to meet the unique needs of each hospice organization.
We partner with hospice agencies to:
*Review and strengthen documentation
*Develop audit-ready processes
*Respond to denials and appeals
*Train staff on compliance best practices
*Minimize regulatory risk.
Our mission is to protect your hospice’s reputation, revenue, and ability to serve patients — by ensuring compliance without compromising care.
Hospice CMS Audit Support & Compliance Services
🔹Hourly Consulting
Rate: starting at $150/hr
Best for: Short-term support, document reviews, or on-call compliance questions.
Includes:
🔹One-on-one consulting
🔹Compliance and regulatory guidance
🔹Documentation audits
🔹Email follow-up within 24 hours
🔹 CMS Audit Response Package
Starting at: $2,500 (flat fee)
Best for: Hospices needing help with an ADR, TPE, SMRC, or UPIC audit.
Includes:
🔹Comprehensive chart reviews
🔹Identification of documentation gaps
🔹Clinical and billing alignment check
🔹Compile, evaluate, and submit requested documentation
🔹Attend CMS Education Session
🔹Monitor/Track ADR claim status/remittance advice
🔹Targeted staff training and education
🔹Monthly Compliance Support (Retainer Plan)
Best for: Hospices wanting ongoing support and audit readiness.
Includes:
🔹Chart audits & documentation reviews
🔹Policy/procedure guidance
🔹Staff training sessions
🔹Priority scheduling for audit response support
*Custom plans available for large agencies or multi-site hospices
🔹Staff Training & Workshops
Virtual: starting at $500 per session
On-site: Custom pricing + travel expenses
Best for: TPE audits (Rd 1-3) /preparing teams for audit readiness.
Topics include:
🔹Writing defensible documentation
🔹CMS audit trends and updates
🔹Preventing claim denials
🔹Understanding TPE, SMRC, and UPIC processes
Customer reviews
Daniel K.
Ron H.
James F.
Why Choose Us?
With over a decade of hands-on hospice experience and a proven track record navigating a wide range of CMS audits, Hospice Quality Solutions brings unmatched insight and practical solutions to every client engagement. We understand the unique challenges hospice providers face—because we’ve worked inside the industry. From Supplemental Medical Review Contractor (SMRC) and Targeted Probe & Educate (TPE) reviews to complex UPIC investigations, we know how to prepare, respond, and protect your organization. Our depth of knowledge, combined with a compassionate, provider-focused approach, ensures you receive strategic guidance, rapid support, and peace of mind when it matters most.
Competitive Pricing
Maximum value budget friendly pricing
Licensed Professional
Fully qualified with over a decade of hospice experience
Customized Service
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We're here to help whether you have received an audit notification or not! If you are currently subject to a CMS audit, please indicate which type in the "message" section below. A consultant will reach out to you within 24 hours.