Know your CAP exposure before the demand letter.
Your beneficiary count sets your aggregate cap. Connect Shield calculates your exposure and flags a clawback before CMS sends the bill.
The Medicare aggregate cap limits total reimbursement to your beneficiary count times the annual per-beneficiary cap amount. Exceed it and CMS claws back the difference — often a devastating six-figure demand arriving months after the cap year closes. The Beneficiary Count report (B51562) holds the number that drives it, and most owners don't run the math until it's too late.
Live cap calculation
Beneficiaries × per-cap amount, against your net reimbursement — exposure in real time.
Clawback estimate
If you're over, we show the dollar figure you'd owe, not a vague warning.
Headroom when you're safe
Under the cap? See exactly how much room is left before you're at risk.
Cap-year aware
Uses the correct per-beneficiary amount for the cap year in question.
Start with your published SSVI score.
Every capability in Connect Shield connects back to your SSVI. Look yours up free, then book a demo to see the full breakdown and your Beneficiary Count analysis together.
Look up your hospice's SSVI score
Enter your CCN to see your published CMS score and risk level instantly. Sign in to unlock the full nine-measure breakdown.