Managing Medicare Aggregate CAP is proudly presented to you by National Association for Home Care & Hospice. Thank you. We hope that you enjoy your course.
Description:
More than one in eight Medicare-certified hospices exceed the CAP and must make repayment to the Medicare program. MedPAC anticipates the number of over-CAP hospices to increase without any change in the CAP computation. Changes to the CAP, including wage-adjusting the existing single national CAP value, and reducing it by 20 percent, and adjusting the CAP based on the geographical location of the hospice and its patients, are being considered. MedPAC estimates a combination of these changes would cause over 26 percent of hospices to exceed the CAP. This session is intended to provide attendees with a general understanding of the CAP, CAP calculations, and liability assessments. Attendees will learn how to determine CAP liabilities and how to monitor utilization characteristics that drive CAP liabilities. Attendees will also gain an understanding of the CAP calculation and follow-up procedures employed by the MACs, as well as unique CAP-related activities, i.e., terminating providers, CHOW CAP calculations, and others.
Learning Objectives:
•Outline the rationale behind closer scrutiny of aggregate CAP liability and annual self-reporting
•Explain the need to monitor CAP status throughout the year; describe how to effectively monitor and compute the hospice's aggregate CAP status
•Synthesize information necessary to prepare the annual CAP self-determination and to make this submission
•Predict the final CAP liability and make a request for ERS
•Assess how pending CAP policy changes may impact your organization
Faculty:
Amber Popek, CPA
Mark Sharp, CPA