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#per-diem

Per Diem

Per diem rates, tracking, and expense reimbursement

Independent Hospice Agency Bookkeeping: Medicare Per-Diem Revenue, the Aggregate Cap, and the KPIs That Matter

A practical accounting guide for independent hospice and palliative care agencies — covering Medicare per-diem revenue recognition under ASC 606, the aggregate cap under 42 CFR 418.309, the inpatient cap, hospice wage index labor allocation, ZPIC/SMRC/RAC recoupment reserves, bereavement and foundation income segregation, and the NHPCO benchmark KPIs that boards and lenders track.