[3368] They Keep Asking for My Money Back - How to Calculate Your Proportional CAP
The calculation method to
determine your patient count and compare to the revenue you are billing to Medicare to see if you are within limits or have to pay money back.
TAHC&H CONFERENCE RECORDING: This program was presented on 2/12/2020 at the Texas Association of Home Care & Hospice Winter
Conference in Denton. It is one of 18 presentations captured and produced for online access. Subscribers receive 24/7 on-demand access from both home
and office during the subscription period shown at the bottom of this page.
Presentation Info:
- Presentation Date: February 12, 2020
- TAHC&H Event: TAHC&H Winter Conference | Denton
Education-Training Credits:
- TX HCSSA Administrator/Alternate Continuing Education
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
- §558.259[d][4]agency responsibilities
- §558.260[a][6]risk assessment and management
- §558.260[a][7]financial management
Program Description: In 2012 CMS changed the Hospice Cap method of calculation for all
new providers and those who chose not to grandfather themselves. This presentation will discuss and give you the calculation method to
determine your patient count and compare to the revenue you are billing to Medicare to see if you are within limits or have to pay money back.
TAHC&H Faculty/Presenters: Jill Schuerman, Founder and CEO, Schuerman Business Consulting, LLC
About the Presenters:
Jill Schuerman has over 14 years in hospice, serving as regional and national Director of
Reimbursement overseeing billing/collections for 17 agencies in 6 states, and collaborating with the Compliance officers in the review of Medicare and Medicaid
regulations and changes and the creation of related Policy and Procedures. Currently, Ms. Schuerman is the Founder and CEO of Schuerman Business Consulting, LLC.,
which provides outsourced billing services, billing training, and billing due diligence audits for hospice agencies. She has been an Associate Member of TAHCH since
starting her business in 2016, as well as a member of the Palmetto Home Health and Hospice Provider Outreach and Education Advisory Group, and a Patron Member and
Board Member of the Texas New Mexico Hospice Organization. Ms. Schuerman holds a Bachelor of Science degree in Accounting, and is a frequent speaker on hospice billing topics.
[3368] They Keep Asking for My Money Back - How to Calculate Your Proportional CAP
