HOSPICE AGGREGATE CAP CALCULATION APPROACHES

MARCH 31 DEADLINE FOR HOSPICE AGGREGATE CAP CALCULATION AND SUBMISSION!! 

Beginning with the 2014 Cap year, hospices are required to annually calculate and report their estimated aggregate Cap to their Medicare Administrative Contractor (MAC) no earlier than three months after and no later than five months following the end of the hospice Cap year.  The 2015 year closed on October 31, 2015, which means that hospices must report their self-calculated aggregate cap calculations (and submit any associated overpayment) by the deadline of March 31, 2016.

Failure to file the Cap calculation on a timely basis and address any Cap-related liability will result in payment suspension.  For additional information, please see the following coverage in NAHC Report:

http://www.nahc.org/mobile/NAHCReport/nr160205_1/