Learn · Medicare · RADV · Horizon Aegis
MCO 5 bps. Hospital 0.25% NPR. Hospice 1%.
Contingency shops tax the recovery. Per-finding vendors tax the queue. JIL is infrastructure: 5 bps flat for MCOs, 0.25% of NPR for hospitals, 1% for hospice. Not 35-90.
What the rate buys
Horizon Aegis continuous shadow RADV on V22/V24. Retro + live evaluation. SIU queue. Sealed CREB / AREB / PIEB / RREB — including RADV profiles. No per-bundle invoice when counsel asks for the next file.
What it never is
Not CAPEX. Not a percent of recoveries. Not 12.5% of PI spend. Not a V28 surcharge. Not a 35-90 band. The rate does not jump when a flag turns on.
Read the schedule
Pricing · Economics · Healthcare.
FAQ
Is there a CREB fee?
No. Packages are included in the buyer-type rate.
Do you take recoveries?
Never. You keep 100%.