Cracking the Hospice Cap: What Every Provider Needs to Know
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
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
Creators and Guests
Host
Amy Taylor
Amy Taylor is the founder of Knight Home Care Financial, specializing in business development and financial solutions for the home care and hospice industries. She is an active member of the Texas Association of Home Care & Hospice and a passionate advocate for caregivers.
Host
Troy Brooks
Troy Brooks is a seasoned healthcare attorney with over 20 years of experience in regulatory compliance, mergers and acquisitions, and home care licensure. A former Assistant General Counsel for the Texas Department of Human Services, he brings deep industry insight and a sharp sense of humor to the show.
Producer
Joshua Long
Joshua Long is a feature film, commercial and new media producer with more than a decade of experience. His experience in digital content production, planning and resource management provide tremendous value to TheRiot Agency’s production capabilities. He also manages TheRiot Agency’s subsidiary, Greenlit Entertainment.
