CaseWhy Hub · CaseWhy Appeals · Facilities · Hospice

For hospices

When a hospice discharges a patient for no longer being terminally ill, the family has the same fast-review right as any other ending service — and almost nobody knows it. CaseWhy Appeals explains the notice, writes the request, and tracks the clock.

The clock, precisely

A Notice of Medicare Non-Coverage (CMS-10123) ending hospice care carries the same fast-appeal right as rehab or home health: the family asks the Quality Improvement Organization for review no later than noon of the day before services end, and coverage generally continues while the QIO decides.

Why hospice is pay-per-case only

This is a deliberate choice, not a missing option. Hospice is a per-diem election rather than an admission gate, and there is no sourced Medicare Advantage denial rate for it the way there is for skilled nursing and home health — so there was no responsible way to size a monthly included-case allowance. Guessing one would have meant either overcharging a quiet hospice or underpricing a busy one, both on a number we made up. If real usage later shows what the right allowance is, we'll add it.

Pay per case

No monthly fee, no commitment. The resource library — written guides, a video walkthrough, and audio explainers — comes with any licensed site, including this one.

Your first 3 cases are free. Every hospice runs on the same Volume pricing above — there is no monthly plan to switch to (see why, above).