Southwest Consulting Associates Blog

FY 2020 Hospice Final Rule Update

Posted by Stacie Snider on Sep 9, 2019 9:48:53 AM

The 2020 Hospice Final Rule was published in the Federal Register August 6, 2019, and will affect hospital discharges on or after October 1, 2019. Each year, CMS publishes updates to the regulations for inflation factors, wage adjustments, etc. For FY 2020, CMS has updated the following Hospice rates which are contained in the final rule:

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Topics: Industry Updates, regulations, final rule, hospice

Medicare Cost Report Supporting Documentation Requirements

Posted by Jamie Pennington on Aug 29, 2019 3:32:00 PM

As you will recall from the FY 2019 IPPS final rule-making cycle, CMS issued new requirements for supporting documentation that must be submitted along with the Medicare cost report.  While that final rule was posted a little over a year ago, hospitals will soon be in the midst of filing the first affected cost reports. The new Medicare cost report supporting documentation is required for cost reporting periods beginning on or after October 1, 2018.

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

2020 Inpatient Skilled Nursing Facility Final Rule Update

Posted by Stacie Snider on Aug 16, 2019 9:13:30 AM

The 2020 Inpatient Skilled Nursing Facility Final Rule was published in the Federal Register August 7, 2019. The rule can be found through the CMS website or you can view the Federal Register version here. This SNF rule affects discharges on or after October 1, 2019. 

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Topics: Industry Updates, regulations, final rule, provider reimbursement, inpatient SNF

2020 Inpatient Rehab Final Rule Update

Posted by Stacie Snider on Aug 14, 2019 9:05:00 AM

The 2020 Inpatient Rehab Final Rule was published in the Federal Register August 8, 2019, and will affect discharges on or after October 1, 2019. The 2020 Rehab (IRF) Final Rule can be viewed here.

 

Each year, CMS publishes updates to the regulations for inflation factors, wage adjustments, etc. and for FFY 2020, CMS has finalized the following updates to the Rehab rates:

 

 

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Topics: Industry Updates, regulations, final rule, provider reimbursement, inpatient rehab

2020 Inpatient Psych Final Rule Update

Posted by Stacie Snider on Aug 13, 2019 4:53:34 PM

The FY 2020 Inpatient Psych Final Rule was put on display for public inspection on July 30, 2019, and was published in the Federal Register August 6, 2019. The FY 2020 Psych Final Rule can be viewed here. As a reminder, this IPF rule affects discharges on or after October 1, 2019.

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Topics: Industry Updates, regulations, final rule, provider reimbursement, inpatient psych

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

FY19 IPPS Final Rule: Cost Report Worksheet S-10 Is Here To Stay

Posted by Kyle Pennington on Oct 12, 2018 1:32:37 PM

The Fall 2018 issue of HFMA New Jersey's Garden State FOCUS magazine included an article titled, "FY 2019 IPPS Final Rule Update: Worksheet S-10 Is Here To Stay" which takes a look at:

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Topics: Medicare DSH Reimbursement, S-10, regulations, final rule, worksheet s-10

Robust Factor 3 Comments Not Enough to Sway CMS & 2018 IPPS Final Rule

Posted by Michael Newell on Sep 5, 2017 12:53:25 PM

As we all now know, CMS proposed transitioning to the use of uncompensated care cost per worksheet S-10 in the IPPS 2017 rulemaking cycle. For many reasons that we have discussed in the past and that CMS reiterated in the last rulemaking cycle, that plan was not finalized. And although many people were left thinking that CMS was going to make some reforms to the definitions and reporting processes before going forward, they did leave the door open just a bit last year with regarding to moving forward with the change to S-10 in FY 2018. As we now know, they chose to squeeze through that opening and have finalized plans to begin the transition to using worksheet S-10 beginning in FY 2018. As overall justification, CMS stated:

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Topics: DSH Reimbursement, Medicare DSH Reimbursement, S-10, regulations, final rule, worksheet s-10, factor 3

2018 IPPS Final Rule: "What To Do Now" Recommendations

Posted by Michael Newell on Aug 24, 2017 8:45:00 AM

Now that the FY 2018 IPPS final rule has been published, we think that you need to do some things that are both in the here and now AND in the future.  Here are some of the top priorities that we are managing for our clients:

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Topics: DSH Reimbursement, Medicare DSH Reimbursement, S-10, final rule, worksheet s-10

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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