For U.S. hospice agencies
Continuous quality and compliance, built for hospice care.
Hospice Helper is a quality, audit, and compliance platform purpose-built for hospice agencies. It reviews every chart against the Conditions of Participation, monitors HOPE and HQRP performance in real time, and maintains a complete, surveyor-ready record of every finding and resolution — so your clinical and administrative teams can devote their attention to patient care.
Aligned with 42 CFR Part 418, HOPE (HUV1 / HUV2 / SFV), and the HQRP submission calendar.
The compliance landscape
Hospice operates under exacting regulatory requirements.
Survey citations, payment integrity, and accreditation each carry consequences that compound quickly. Four areas, in particular, generate most of the operational and financial risk hospice agencies face today.
Plan-of-care and IDG documentation
Deficiencies under 42 CFR §418.56 — care plans not individualized, not updated within the 15-day interdisciplinary group review, or not aligned with the services delivered — are consistently among the most frequently cited findings in hospice surveys.
Certification, recertification, and F2F
Vague terminal-prognosis narratives, missing clinical summaries, and late or undocumented face-to-face encounters under §418.22 and §418.24 remain a leading source of survey citations and downstream payment denials.
HOPE, HUVs, and Symptom Follow-Up Visits
Since October 1, 2025, HOPE replaced HIS as the standardized assessment instrument. HUV1 (days 6–15), HUV2 (days 16–30), and Symptom Follow-Up Visits within two calendar days of moderate or severe symptoms must be tracked precisely — and submitted to iQIES on a strict schedule.
HQRP submission and APU exposure
At least 90% of required quality records must be submitted within 30 days. Failure carries a four-percentage-point reduction to the Annual Payment Update — for FY 2026, the difference between a 2.6% increase and a 1.4% decrease against the hospice market basket.
How Hospice Helper responds
A single platform across audit, quality reporting, and survey readiness.
Hospice Helper connects to the EHR your agency already uses, ingests the clinical record, and applies a citation-aligned audit engine and AI-assisted review to every chart, every day. Four integrated modules share the same canonical record, the same findings, and the same verifiable history.
Chart audit
Every chart in the active census is reviewed continuously against a library of audit checks aligned to specific CMS citations. Findings are surfaced on a daily worklist with direct links to the records that triggered them, so clinical leaders can resolve issues while they remain correctable.
HOPE and HQRP
HUV1 and HUV2 windows are tracked in the agency's local time zone, Symptom Follow-Up Visits are armed automatically when moderate or severe symptoms are recorded, and HQRP measure performance — HCI, HVLDL, CAHPS, and the Comprehensive Assessment — is monitored on a continuous basis.
QAPI program
Findings from the audit engine flow directly into the QAPI workspace, supporting the annual evaluation, Performance Improvement Projects, IDG attendance reporting, and the artifacts surveyors expect under §418.58 — without parallel spreadsheets or year-end reconstruction.
Survey readiness
On-demand reports compile every applicable Condition of Participation, every audit finding, every resolution, and every access record — scoped to ACHC, CHAP, TJC, or state survey requirements — and produced in the formats accreditors recognize.
Outcomes for the agency
The result is a more defensible, less burdened operation.
Clinical time returned to patient care
Audit checks, citation tracking, and quality reporting run continuously in the background. The hours your team would have spent assembling evidence return to patient visits, family conversations, and clinical leadership.
Survey findings identified while correctable
Issues under §418.56, §418.22, and §418.76 are surfaced in the days they occur — not in the surveyor's exit conference. Deficiencies are remediated on the record, with a complete history of when and how.
Quantifiable protection of payment
HOPE submission timing, HUV completion, and HQRP measure performance are visible at all times. Exposure to the four-percentage-point APU reduction is a managed metric, not a year-end discovery.
Current status
Hospice Helper is engaged with its initial pilot agencies. Customer case studies will be published as those engagements mature.
Evaluate Hospice Helper on your own charts.
A thirty-minute walkthrough conducted against a sanitized sample of your data — or a fully synthetic dataset if your agency prefers not to share charts before a Business Associate Agreement is in place.