Hospice Continuous Home Care eCBR

Published 08/12/2025

This electronic Comparative Billing Report (eCBR) focuses on hospice providers that provide and submit claims for Continuous Home Care (CHC) and have a long length of stay as compared to their peers. eCBR information is one of the many tools used by Palmetto GBA to assist individual providers in identifying variation and improving performance. The goal is to proactively communicate regulatory guidelines alongside data analysis to increase efficiency and, if applicable, reduce the increased CHC utilization.

The information contained in Palmetto GBA’s eCBRs will help hospices with their CHC utilization and length of stay. Palmetto GBA currently uses eCBRs as educational tools to give providers insight into their billing patterns and utilization of services. eCBRs are available to Palmetto GBA providers via the eServices provider portal where they can view and download their individual eCBRs. 

Providers are encouraged to conduct self-audits to compare their performance to others in their respective states and Jurisdiction M Medicare Administrative Contractor (MAC) jurisdiction. Palmetto GBA has a hospice audit to which can be found at Hospice Record Audit Tool.

For your personalized Continuous Home Care (CHC) results, log on to eServices

Methods
The metrics reviewed in this eCBR are the length of stay rates for revenue code 652 for hospice bill types 81X and 82X. The focus of the eCBR is providers with providers whose values exceeded the jurisdiction’s 80th percentile in two or more of the following categories:

  • Provider percentage of CHC claims to jurisdiction provider percentage of hospice claims
  • Provider CHC claims per beneficiary to jurisdiction provider percentage of hospice claims per beneficiary
  • Provider covered units in CHC claims per beneficiary to jurisdiction provider covered units in hospice claims per beneficiary
  • Percentage of CHC claims for Healthcare Common Procedure Coding System (HCPCS) codes Q5001, Q5002 or Q5003 to jurisdiction percentage of hospice claims for HCPCS codes Q5001, Q5002 or Q5003
  • For whom >=10 beneficiaries were noted for the 18-month period under study

Resources


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