Quality Assurance and Compliance that Hospice Agencies Can Rely On
Brellium automatically audits your documents against Medicare Conditions of Payment and OIG audit criteria, so your team has real-time insights into documentation and care quality.
Get a DemoHospice Care is in the Cross-Hairs
Hospice organizations face intensifying scrutiny from MACs, UPICs, and CMS, with face-to-face encounter documentation and terminal prognosis justification as top audit targets. Manual review doesn't scale — especially as regulators increase reviews and encourage whistleblowers to identify fraud, waste, and abuse.
A single documentation gap can trigger the denial of an entire benefit period, putting months of revenue at risk per patient. The organizations that survive this environment aren't the ones reviewing more charts manually — they're the ones building systems that catch issues before claims go out the door.
Brellium is Built to Respond
CTI & Visit Note Auditing
Audit Comprehensive Treatment Interventions and visit notes for clinical quality — not just documentation presence — ensuring each note reflects individualized, patient-centered care.
F2F & Recertification Compliance
Ensure face-to-face encounter requirements and recertification timelines are met within CMS-mandated timeframes, with proper physician or NP attestation documented.
Nursing Notes Auditing
Every nursing visit note is checked against LCD criteria to verify it reflects the disease-specific evidence required for continued hospice eligibility. Brellium also cross-references prior visit notes and the associated CTI to flag inconsistencies and maintain the golden thread — the continuous clinical narrative that ties every document together.
CHAP Verified
Brellium's hospice AI chart auditing and quality trend data tools have been awarded the CHAP Verified seal, confirming alignment with hospice Standards of Excellence and Innovation.
Brellium Catches Hospice Compliance Risks — Before CMS Audits
Insufficient Clinical Justification for Terminal Prognosis
OIG-HHS has identified inadequate terminal prognosis documentation as a top audit target. Brellium validates that every certification includes specific, measurable clinical decline indicators.
F2F Encounter Timing & Documentation Gaps
Flag patients approaching or past face-to-face encounter deadlines, preventing certification gaps that trigger denials and are a primary focus of Medicare auditors.
Visit Notes Lacking Individualized Care Evidence
Detect visit notes that use templated or generic language instead of documenting patient-specific observations, interventions, and responses — a growing audit focus area.
GIP Level of Care Without Acute Symptom Evidence
Catch general inpatient care documentation that lacks required evidence of acute symptom management needs, a high-risk area for clawbacks under federal scrutiny.
Trusted by leading hospice organizations
Hospice compliance insights
Mapping the fallout of CMS' six-month hospice and home health moratorium
What the CMS hospice enrollment freeze means for providers already in Medicare — and how to stay ahead of what comes next.
Read more
Audit-Ready Before the Auditor Calls
Your hospice could be audited next. Here's how to make sure you're ready.
Watch now
How to Document a Defensible Terminal Prognosis That Survives MAC Review
A guide for hospice agencies on writing terminal prognosis documentation that withstands MAC review. Covers constructing defensible narratives, gathering supporting documents, and avoiding common denial-triggering mistakes.
Learn moreMeasurable impact from day one
Healthcare organizations that switch to Brellium see transformational improvements in compliance, cost, and clinical quality.
Frequently asked questions
Partner with Brellium to stay ahead of OIG hospice audits
With OIG-HHS ramping up hospice audit activity, proactive compliance is no longer optional. See how Brellium can help your organization audit for quality — not just presence.