Southwest Consulting Associates Blog

Jamie Pennington

Jamie has over 11 years of experience in the healthcare consulting industry. She currently manages all marketing operations as well as SCA’s Research Associate personnel. In previous roles, Jamie served in operations management, internal audit, appeals and MAC audits.
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Recent Posts

340B Corner:  340B Registration Period Underway July 1-15th 2019

Posted by Jamie Pennington on Jul 3, 2019 2:09:23 PM

The next 340B quarterly registration period is once again upon us.  The 340B registration window began on July 1st and will conclude on July 15th. Eligible entities must register in the 340B Office of Pharmacy Affairs Information System (OPAIS). More information can be found on the Office of Pharmacy Affairs (OPA) website.

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Topics: 340B, 340B eligibility, 340b registration, Medicaid eligibility

FY 2020 IPPS Proposed Rule

Posted by Jamie Pennington on Apr 24, 2019 3:23:43 PM

The FY 2020 Inpatient Prospective Payment System (IPPS) Proposed Rule was put on display for public inspection on April 23, 2019, and is scheduled to be published in the Federal Register on May 3, 2019.  The pre-publication version can be viewed HERE or on the FY 2020 IPPS Proposed Rule homepage.  If finalized, these changes will go into effect October 1, 2019.  All public comments to the proposed rule are to be received by 5 pm EST on Monday, June 24, 2019.

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Topics: Medicare DSH Reimbursement, Industry Updates, S-10, regulations, proposed rule, worksheet s-10, factor 3, uncompensated care payment, ipps rule, provider reimbursement

FFY 2017 SSI Ratios Posted to CMS Website for Medicare DSH

Posted by Jamie Pennington on Apr 4, 2019 4:57:30 PM

CMS posted the FFY 2017 SSI ratios to their website.  The FFY 2017 SSI ratio file (DSH Adjustment and 2016-2017 File [ZIP, 246KB]) can be found in the Downloads section of CMS' Disproportionate Share Hospital (DSH) webpage or by following the link below:

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Topics: DSH Reimbursement, Medicare DSH Reimbursement, Industry Updates, SSI Recalculations, factor 3, ssi ratio, uncompensated care payment

PODCAST: Worksheet S-10 Scope, Uses and Implications

Posted by Jamie Pennington on Mar 12, 2019 11:46:52 AM

 

Southwest Consulting Associates recently participated in a segment of the THA SOLUTIONS Podcast where SCA President Michael Newell discussed the Medicare cost report Worksheet S-10 with Texas Hospital Association's Lance Lunsford. The sixteen minute conversation was part of the podcast segment titled, "Maintain Compliance to Maximize Hospital Funding" and can be heard in its entirety by selecting the play button located at the end of this post.

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Topics: uncompensated care, S-10, worksheet s-10, uncompensated care payment, Medicare Cost Report, S-10 audit, provider reimbursement

FFY 2019 Medicare Cost Report Submission Reminders

Posted by Jamie Pennington on Feb 15, 2019 1:10:47 PM

Last Fall, CMS made updates to the cost reporting software and the rules for filing a hospital Medicare cost report.  Additionally, there were new and noteworthy changes included in the FY 2019 IPPS Final Rule.  Specifically, the FY 2019 Final IPPS rule included new requirements for cost reports submissions with periods beginning on or after 10/1/2018.  Providers must now submit both Worksheet S-10 and Medicare DSH patient level detail along with their cost report submissions.  

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Topics: Medicare DSH Reimbursement, Industry Updates, S-10, final rule, worksheet s-10, cost reporting, Medicare Cost Report

FY 2019 IPPS Rule, Worksheet S-10 Audits & Going Forward

Posted by Jamie Pennington on Feb 11, 2019 12:55:30 PM

Southwest Consulting Associates was featured in the latest issue of the Dallas-Fort Worth Hospital Council's Interlocutor magazine.  Beginning on page 24, Kyle Pennington reviews the FY 2019 IPPS rule, the inaugural audits of Medicare cost report Worksheet S-10 data and what's coming up next for hospital providers and their reimbursement teams. 

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Topics: S-10, final rule, worksheet s-10, Medicare Cost Report, S-10 audit, ipps rule

CMS Posts 2019 IPPS Final Rule

Posted by Jamie Pennington on Aug 2, 2018 6:10:05 PM

The 2019 IPPS Final Rule was put on display for public inspection on August 2, 2018 and is scheduled to be published in the Federal Register on Monday, August 17, 2018.  The pre-publication version can be viewed HERE (Medicare DSH begins on page 969).  SCA will be reviewing and analyzing the details of the final rule and its components and we will provide more detailed conclusions soon.

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Topics: DSH Reimbursement, Medicare DSH Reimbursement, Industry Updates, S-10, proposed rule

Texas Hospital Association Partners With SCA Uncompensated Care Costs Calculations

Posted by Jamie Pennington on May 29, 2018 11:35:37 AM

Southwest Consulting Associates has been endorsed by the Texas Hospital Association to help Texas hospitals thoroughly and completely calculate and document uncompensated care costs to qualify for Medicaid supplemental payments. Read the full press release HERE.

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Topics: worksheet s-10

2019 IPPS Proposed Rule: Cost Report Worksheet S-10 to determine Two-Thirds of Factor 3 for Uncompensated Care Payment

Posted by Jamie Pennington on Apr 25, 2018 3:59:40 PM

The 2019 IPPS Proposed Rule will be published in the Federal Register on May 7, 2018. If finalized, these changes will go into effect October 1, 2018. The pre-published version can be viewed HERE. Public comments will be accepted until 5 p.m. EDT on June 25, 2018.  Below is SCA’s "as brief as we could make it", yet comprehensive summary on the Medicare DSH/Uncompensated Care payment portion (pages 818-877) of the proposed rule as it will affect qualifying DSH hospitals.

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Topics: DSH Reimbursement, Medicare DSH Reimbursement, uncompensated care, Compliance, Industry Updates, S-10, regulations, proposed rule, healthcare finance, worksheet s-10

CMS Posts 2019 IPPS Proposed Rule

Posted by Jamie Pennington on Apr 24, 2018 3:45:04 PM

The 2019 IPPS Proposed Rule was put on display for public inspection on April 24, 2018 and is scheduled to be published in the Federal Register on Monday, May 7, 2018.  The pre-publication version can be viewed HERE.  All public comments to the proposed rule are to be received by 5 p.m. EST on Monday, June 25, 2018.  

 

In regards to the Medicare DSH/UC payment, Worksheet S-10 will be used to calculated two-thirds of a qualifying provider's Factor 3.  SCA will be reviewing and analyzing the full details of the proposed rule and its components, and we will provide our conclusions in the coming week. 

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Topics: DSH Reimbursement, Medicare DSH Reimbursement, Industry Updates, S-10, proposed rule

About This Blog

The climate of provider reimbursement is ever-changing and this blog is intended to keep you up-to-date on the latest information regarding:

  • DSH Reimbursement
  • 340B Pharmacy Drug Discount Program
  • Compliance Issues
  • Litigation Surrounding Provider Reimbursement

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