Clinical boundary · case file
CaptrueMedicareLedger
Every Medicare-certified hospice is subject to an aggregate payment cap each federal fiscal cap year (October 1–September 30).
Who this is for
Target buyer ICP: Freestanding for-profit Medicare hospice agencies with 1–5 CCNs, roughly 50–400 Medicare beneficiaries per cap year, elevated average length of stay, recent market entry (especially CA/TX/NV/AZ and other high-entry states), and either (a) prior-year over-cap / near-cap, or (b) no dedicated reimbursement specialist.
Painful problem Small and mid-size hospices discover aggregate-cap liability late — after PS&R lags settle, after long-stay patients inflate the proportional count denominator incorrectly in spreadsheets, or after a MAC past-due letter suspends 100% of payments.
The outcome we sell Outcome sold: A specialist-released, MAC-ready Self-Determined Hospice Cap Completeness Pack (and optional monthly Cap Exposure Continuity) that lets the hospice’s authorized signer file on time with reconciled PS&R inputs, documented beneficiary counting method, calculated aggregate cap position, and remittance/ERS checklist — protecting payment continuity and reducing surprise liability.
Proceed only when the source record, service boundary, responsible reviewer, and release criteria can be named before work begins.
Method
Engagement
Pricing evidence and proposed pricing Public CAP vendors advertise “transparent pricing” without publishing rate cards; analogous specialized hospice compliance packs and cost-report project fees in the market commonly land in the low-to-mid four figures per filing, with monthly monitoring as a retainer. Proposed outcome pricing: Free Cap Leak Scan: 15-minute structured intake + high-level PS&R vs EMR delta flags + exposure band (lead magnet). SDHC Completeness Pack: $3,500 (≤100 beneficiaries) / $6,500 (101–250) / $9,500–$12,000 (251–400+ or multi-year reopen pack) per CCN per cap year. Cap Exposure Continuity: $499 / $899 / $1,499 per CCN per month (census tier).
Operating evidence: No verified cycle-time result is published yet. The first result will be calculated from accepted intake through qualified-human release.
Client evidence: No client identity or case narrative is published. A reference may appear only after written permission and factual review.
Volume evidence: No completed-client count is claimed. Counts will be published only after the delivery ledger and provider records reconcile.
Evidence room
Service boundary
CaptrueMedicareLedger is an operational documentation and processing service operated by Your Deputy, Obuke LLC. It is not a law firm and does not provide legal, tax, medical, financial, or other licensed professional advice. Consumer and personal debt matters are not accepted. The client retains its licensed professionals and decision authority. Automation may organize and check records, but a qualified human must review and release every client deliverable. Minimum-necessary data handling and professional review apply.
Questions
No. This is bounded operational documentation and processing support. Licensed judgment remains with the client and its professionals.
No. It can organize records, run declared checks, and prepare an exception queue. A qualified human reviews and releases every deliverable.
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The item is placed in an exception state with its sources and owner. It is not silently resolved or presented as verified.
Fit diagnostic
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