Time Submission Limit Guidelines (Medicare)

 

Timesheet submission limits are in place to comply with Medicare and reflect explicit guidance from CMS representatives and MAC leadership, ensuring that Solace continues to operate in a way that is compliant and defensible. However, these are guidelines, not hard stops. We understand that patient needs can vary, and we appreciate your dedication. In that spirit, we’ve created a process to grant you the flexibility and support you need when your patients are in critical situations.

 

From Monday through Sunday, time limits are as follows:

• Daily: 8 hours per patient
• Weekly: 16 hours per patient
• Monthly: 30 hours per patient
• Per Advocate: A maximum of 12 hours/day and 225 hours/month.

Time Cap Tips: If you have a patient with complex needs, focus on the actions that will most meaningfully advance the patient’s care. Prioritize acute needs and plan to address non-urgent or chronic tasks as time allows. Make sure to set clear boundaries and communicate proactively with patients. Finally, if you’re still having trouble, bring general questions about time prioritization to the Advocate Office Hours.

Note: If you feel you cannot support a patient within the allotted time due to case complexity or other needs outside typical advocacy support, please submit a Clinical Escalation & Incident Report (CEIR) form for support. CEIRs should be reserved for uncommon situations in which a patient’s needs extend beyond typical support, and you need guidance from a Lead Advocate to determine the best path forward. We are here to help!