Southwest Consulting Associates Blog

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

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

Federal Fiscal Year vs. Hospital Fiscal Year

Posted by Jamie Pennington on Apr 19, 2018 3:24:53 PM

In discussions that we have had externally, there seems to be confusion around which cost reporting periods are applicable to a specific Federal Fiscal year (FFY).  The FFY begins 10/01 and ends 09/30, so if your hospital's FYE is not 9/30, how do you know which of your cost reports falls into a specific FFY?

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Topics: Medicare DSH Reimbursement

340B Corner: Senate HELP Committee Hearing on the 340B Program

Posted by Brennan Newell on Apr 2, 2018 1:25:09 PM

The Senate Health, Education, Labor and Pensions (HELP) Committee held a hearing March 15, 2018, with witnesses from America's Essential Hospitals, Carolina Health Centers, Inc., American Society of Health-System Pharmacists, and the Pharmaceutical Research and Manufacturers of America. The committee asked pertinent questions regarding the purpose and transparency of the 340B drug discount program to the following individuals:

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Topics: 340B, 340b compliance, Senate HELP

FFY 2016 SSI Ratios Posted to CMS Website

Posted by Jamie Pennington on Mar 19, 2018 3:11:26 PM

CMS just posted the FFY 2016 SSI ratios to their website.  The FFY 2016 SSI ratio file (DSH Adjustment and 2015-2016 File [ZIP, 248KB]) 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: Medicare DSH Reimbursement, SSI Recalculations, ssi ratio, DSH Reimbursement, Industry Updates, factor 3, uncompensated care payment

Worksheet S-10: 2017 History and Resource Guide

Posted by Kyle Pennington on Mar 4, 2018 2:38:00 PM

It was an eventful 2017 for CMS when it came to Worksheet S-10 and while we blogged on each milestone individually, we thought a resource summarizing EVERYTHING that took place last year regarding S-10 would be helpful for reference.  So let's waste no time and review the S-10 2017 "appearances" starting with how Medicare cost report Worksheet S-10 rose to fame.


April 28, 2017 - CMS posts the FFY 2018 IPPS Proposed Rule

    • For FFY 2018, CMS again proposed to begin utilizing uncompensated care data from Worksheet S-10 to calculate qualifying providers’ Factor 3.

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Topics: S-10

Southwest Consulting Associates Partners With HAPevolve

Posted by Brennan Newell on Feb 12, 2018 12:58:14 PM

Southwest Consulting Associates is pleased to announce their Associate Membership with HAPevolve, of the Hospital & Healthsystem Association of Pennsylvania (HAP) effective immediately. The partnership is expected to enhance the value the Hospital & Health System Association of Pennsylvania offers its hospital members through reimbursement savings optimization programs and education provided by Southwest Consulting Associates.

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Topics: News & Events

340B and Worksheet S-10 Collide, Again

Posted by Jeff Norman on Feb 5, 2018 1:12:40 PM

On January 23, 2015, Michael Newell, SCA’s President, authored a blog article entitled 340B meets S-10, which can be found HERE.  The impetus for this article was report published by the Alliance for Integrity and Reform of 340B (AIR340B).  In this article, the authors concluded that 340B hospitals appear to provide only a minimal amount of charity care thus calling into question whether or not Congress’ intentions for the 340B program are being met. The data used to reach this conclusion was derived from the Medicare Cost Report, CMS-2552-10, S-10 – the very data that CMS currently uses as the basis to allocate the uncompensated care pool for the Medicare DSH/uncompensated care program. 

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Topics: 340B, worksheet s-10, uncompensated care, S-10

Worksheet S-10 Q&A Posted by CMS

Posted by Kyle Pennington on Jan 5, 2018 1:54:05 PM

The Centers for Medicare and Medicaid Services (CMS) has posted a Questions and Answers document providing clarification related to Medicare Cost Report Worksheet S-10.  If you’ll recall, CMS issued Transmittal 11 in September 2017 that made a number of revisions to the instructions for reporting data on cost report Worksheet S-10.

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Topics: worksheet s-10, uncompensated care, Medicare DSH Reimbursement

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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