{"id":58,"date":"2018-03-22T15:37:22","date_gmt":"2018-03-22T15:37:22","guid":{"rendered":"https:\/\/advantagehcconsulting.com\/blog\/?p=58"},"modified":"2018-03-22T15:38:52","modified_gmt":"2018-03-22T15:38:52","slug":"hospice-cap-reporting-are-you-prepared-to-file","status":"publish","type":"post","link":"https:\/\/advantagehcconsulting.com\/blog\/2018\/03\/22\/hospice-cap-reporting-are-you-prepared-to-file\/","title":{"rendered":"HOSPICE CAP REPORTING: Are You Prepared to File?"},"content":{"rendered":"
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As you may already know, CMS released the new requirements for hospice cap reporting and overpayment remittances as published in the Federal Register on August 22, 2014. Effective for the Cap year ended October 31, 2014, all hospice providers will have to self-disclose the aggregate cap calculation and remit overpayments.<\/p>\n<\/div>\n

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The report will be due to your MAC no later than February 28, 2018.<\/span><\/h2>\n
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Failure to file will result in suspension of Medicare payments, which can have a serious impact on cash flow. The MAC\u2019s final Cap determination will then reconcile all data, which could potentially result in an increase or decrease of the self disclosed calculation and calculate any inpatient liability.<\/p>\n<\/div>\n

What must you do to comply?<\/span><\/h2>\n

Register for the Medicare IACS system at http:\/\/www.cms.gov\/Research\u00ad Statistics\u00adData\u00adand\u00adSystems\/CMS\u00adInformation\u00adTechnology\/IACS\/index.html<\/em><\/a>.<\/em><\/span><\/p>\n

Here you will obtain:<\/span><\/h2>\n
PS&R payment information<\/span><\/h6>\n

Beneficiary information (by requesting the miscellaneous report)<\/span><\/p>\n

If already registered, check your access:<\/span><\/p>\n

Accounts are deactivated if the provider fails to recertify (once a year)<\/span><\/p>\n

Your account password must be reset every 60 days<\/span><\/p>\n

Confirm which methodology you files under:<\/span><\/p>\n

Streamline or Proportional<\/span><\/p>\n

Many providers merely accepted the MAC\u2019s 2012 cap determination without realizing they were switched from the \u201cstreamline\u201d to the \u201cproportional\u201d method.<\/span><\/p>\n

Run your reports<\/span><\/h3>\n

Payments and beneficiary data utilized in the calculation must be generated at least 3 months after the end of the Cap year (i.e., Payments for services 11\/01\/2016 to 9\/30\/2017 should be run in the Medicare IACS system with a paid date no sooner than 01\/31\/2018<\/span><\/p>\n

Beneficiary count period for the aggregate cap determination for hospices using the patient-by-patient method is from 11\/1\/2016 to 9\/30\/2017 should be run in the Medicare IACS system with a paid date no sooner than 01\/31\/2018<\/span><\/p>\n

Overpayments must be remitted back to the MAC upon filing<\/span><\/p>\n

Can apply for an extended repayment schedule (ERS)<\/span><\/p>\n

Do you know if a liability exists in your agency? Assess your agency\u2019s situation now so there are no surprises when you go to file. You will then have adequate time to gather all the necessary information together apply for and file an ERS,<\/span><\/p>\n

If you need help in filing, or have any questions, click here to book a call with\u00a0<\/span>Advantage Healthcare Consulting<\/a><\/span>\u00a0<\/span>or reach out directly at (626) 297-0094.<\/span><\/p>\n

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As you may already know, CMS released the new requirements for hospice cap reporting and overpayment remittances as published in the Federal Register on August 22, 2014. Effective for the … Continue Reading →<\/a><\/p>\n","protected":false},"author":1,"featured_media":59,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[9,4],"class_list":["post-58","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-reimbursement","tag-cost-report","tag-outsource"],"_links":{"self":[{"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/posts\/58","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/comments?post=58"}],"version-history":[{"count":8,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/posts\/58\/revisions"}],"predecessor-version":[{"id":100,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/posts\/58\/revisions\/100"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/media\/59"}],"wp:attachment":[{"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/media?parent=58"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/categories?post=58"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/tags?post=58"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}