Aggregate Cap
MedPAC Recommends 20 Percent Cut to Hospice Aggregate Cap
Payment Freeze, Aggregate Cap and Telehealth Visit Reporting Highlighted Late last week, the Medicare Payment Advisory Commission (MedPAC), an advisory body to the U.S. Congress, verbally approved the following recommendations: For fiscal year (FY) 2023, the Congress should eliminate the update to the 2022 Medicare base payment rates for hospice and wage adjust and reduce the […]
Read MoreMedPAC Recommends 20 Percent Cut to Hospice Aggregate Cap
Payment Freeze, Aggregate Cap and Telehealth Visit Reporting Highlighted Late last week, the Medicare Payment Advisory Commission (MedPAC), an advisory body to the U.S. Congress, verbally approved the following recommendations, with a formal vote will be taken at a January meeting: For fiscal year (FY) 2023, the Congress should eliminate the update to the 2022 Medicare […]
Read MoreHospices: Deadline for Self-reporting of Aggregate Cap is March 2
Hospice providers are required to self-calculate and submit their Aggregate Cap Report for the 2019 Cap year by March 2, 2020 (NOTE: the deadline usually is the last day in February, but because February 29 falls on a weekend, the deadline shifts to the next business day). If you have a Cap-related liability, you are […]
Read MoreOIG Updates Work Plan to Include Review of Hospice Inpatient and Aggregate Cap Calculations
On October 4, 2019, the Medicare Payment Advisory Commission (MedPAC) began discussions around potential reform of the hospice Aggregate Cap (Cap). MedPAC is considering a recommendation under which the Aggregate Cap would be wage adjusted for the first time in history but may also consider a reduction in the Aggregate Cap amount: at the October […]
Read MoreMedPAC Contemplates Reform of Hospice Aggregate Cap
The statute authorizing the Medicare Hospice Benefit created two caps on payments designed to control overall spending and increase the likelihood of savings through the use of hospice over curative care at the end of life. One cap – the Inpatient Cap – limits the overall annual percent of inpatient care days that a hospice […]
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