Hospice Engine review
A hospice-focused EMR and billing platform spanning clinical records and claims workflows.
Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026
Hospice Engine is a hospice-focused electronic medical record and billing platform from RoundBox LLC, aimed at agencies that need clinical documentation and billing workflows in one hospice-specific offering. Clinical forms span nursing, social work, chaplain, aide, therapy, bereavement and volunteer disciplines. Agencies can select EMR-only, EMR-plus-billing, billing-only, or billing software for an existing biller, so the product can fit different operational arrangements. The vendor says it serves agencies nationwide and has operated since 2012.
Its workflow coverage is particularly relevant to compliance and claims work. Documentation is designed for CMS HOPE requirements taking effect in October 2025. Electronic orders include QAPI approval, correction requests, audit trails and physician signing; the platform also supports electronic interdisciplinary-group meetings with patient grouping, narratives and change alerts. On the billing side, features include Notice of Election submission and monitoring, electronic claims submission with real-time status tracking, authorization renewal alerts, accounts-receivable aging reports and historical claims review. The description also names eligibility, room-and-board billing and appeals among its billing services. This breadth makes it worth considering for agencies seeking connected hospice documentation and revenue-cycle workflows.
Hospice Engine is cloud-based and web-accessible, with listed integrations for MatrixCare, Netsmart, WellSky, KanTime, Careficient, HospiceMD, Kinnser, Consolo and Data Soft Logic. Support channels are email, phone and documentation. The vendor does not publish subscription prices and directs prospects to request a demo or contact sales, so cost evaluation starts with a sales conversation. Agencies focused on hospice-specific charting, election notices and claims workflows may find the fit compelling; organizations seeking a broader care-setting platform or requiring a verified mobile app or formal compliance certification should compare alternatives before deciding.
Hospice Engine pros and cons
- Where it wins
- Discipline-specific charting includes nursing, social work, chaplain and aide forms.
- Supports HOPE documentation, electronic orders and interdisciplinary-group meetings.
- Combines election notices, claims tracking and authorization renewal alerts.
- Where it doesn't
- Subscription pricing requires contacting sales.
- The offering centers on hospice workflows rather than broader care settings.
- Mobile-app availability and formal compliance certifications are not verified.
Hospice Engine fact sheet, pricing and score →
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