Cracking the Hospice Cap: What Every Provider Needs to Know
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Cracking the Hospice Cap: What Every Provider Needs to Know
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Did you know that your “healthy” hospice agency could owe Medicare millions—years after the fact?
In this episode of The Home Care Experience with T&A, Amy Taylor and Troy Brooks explain the hospice aggregate cap and its devastating impact on unprepared providers. From the nuances of daily rate limits to the risks posed by patient transfers and average length of stay, this is essential for anyone in the home care space.
Expect honest stories, practical strategies, and some surprising revelations. Whether you’re just launching a hospice agency or acquiring one, this conversation could save your bottom line.
Chapters:
0:00 – Narrator Intro
1:25 – What Is the Hospice Cap?
5:50 – Balancing Long-Term vs. Short-Term Patients
10:45 – Transfers & Prorated Credit Explained
14:00 – Stories of Big Overpayments
18:30 – Monitoring & Documentation Musts
22:00 – Hospice Eligibility & Medical Necessity
28:00 – Guidance for New Owners
33:00 – The Culture of Hospice & Final Thoughts
🎧 Listen on Apple Podcasts | Spotify | thehomecareexperience.com
#HomeCarePodcast #HospiceCare #MedicareCompliance #HealthcareLeadership