Hospice Capitation Report
Hospice Self Determined Capitation Reports are required for 11/1/16 – 9/30/17 for both Streamlined and Patient-by-Patient method for payments.
The Beneficiary counts are for different time periods for each of the two different methods of counting patients.
The reports are designed to limit the services paid for by limiting(CAP) what a patient can receive for Hospice services.
Intermediaries/MACS have a 3 year re-opening period to establish any over the CAP amounts for previous periods.
Although the Intermediary/MACS require a self determination report, the Intermediary/MAC recalculates the reports approximately 12 months after the end of the CAP year to determine any additional overpayments due to fragmented Beneficiary Counts.
Let an experienced firm assist your Agency with the Self Determined Aggregate CAP Report.