Hospice · Calculator
Hospice Cap Calculator
Estimate the aggregate cap for a cap year — the cap amount times the number of beneficiaries — and compare it to total Medicare payments to see overpayment liability or remaining headroom.
Cap year
Beneficiaries
Use the cap-year beneficiary count from your MAC's cap determination (proportional method). Partial-year and shared beneficiaries count as a fraction.
Payments
Allowable cap
$0.00
Enter beneficiaries and payments
A hospice that exceeds its aggregate cap must repay the difference to Medicare. The cap year runs Oct 1 – Sep 30. This estimate uses the streamlined (proportional) method; your MAC's determination is authoritative.