Southwest Consulting Associates Blog

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: proposed rule, Medicare DSH Reimbursement, DSH Reimbursement, Industry Updates, 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

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

2018 IPPS Final Rule: Worksheet S-10 Comes Off the Bench

Posted by Jamie Pennington on Aug 22, 2017 9:49:09 AM

The 2018 IPPS Final Rule was published in the Federal Register on August 14, 2017. The finalized changes will go into effect October 1, 2017. The Federal Register version can be viewed HERE (Medicare DSH begins on page 38189).  Below is SCA’s brief, yet comprehensive summary on the Medicare DSH/Uncompensated Care payment portion of the final rule as it will affect DSH hospitals.

 

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

CMS Posts 2018 IPPS Final Rule: Worksheet S-10 IS A GO!

Posted by Jamie Pennington on Aug 2, 2017 4:05:30 PM

The 2018 IPPS Final Rule was put on display for public inspection on August 2, 2017 and is scheduled to be published in the Federal Register on Monday, August 14, 2017.  The pre-publication version can be viewed HERE (Medicare DSH begins on page 771).  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: proposed rule, Medicare DSH Reimbursement, DSH Reimbursement, Industry Updates, S-10

PRRB Alert 12 Issued

Posted by Jamie Pennington on Jul 26, 2017 1:59:04 PM

On June 7, 2017, the Provider Reimbursement Review Board (PRRB) issued Alert 12 via email notifying Providers of a change of address for the CMS Office of Hearings, which handles the appeals for the PRRB.  The Alert was just recently posted to the CMS website and can be read in full HERE.  As of June 19, 2017, any correspondence sent to the PRRB should be sent to:

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Topics: PRRB, Industry Updates

340B Corner: 340B optimization program, ELEVATE340B, becomes Medi-Sota preferred vendor

Posted by Jamie Pennington on Jul 25, 2017 10:03:00 AM

ELEVATE340B has recently partnered with Medi-Sota as a preferred vendor. The partnership is expected to enhance the value Medi-Sota offers its rural health care members throughout Minnesota with savings optimization programs and education provided by ELEVATE340B. READ the full press release HERE.

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Topics: ELEVATE340B, 340B, 340B optimization, 340b savings optimization, Industry Updates

340B Corner: Energy & Commerce Committee Hearing “Examining HRSA’s Oversight of the 340B Drug Pricing Program” Part 2

Posted by Brennan Newell on Jul 23, 2017 5:14:00 PM

We posted last week that the E&C Committee held a hearing July 18, 2017, with witnesses from the Office of Pharmacy Affairs, the Government Accountability Office and the Office of Inspector General. The purpose of the hearing was to review HRSA’s oversight of the 340B Drug Pricing Program, and how the program specifically impacts patients, providers, manufacturers and other stakeholders.  

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Topics: 340B, 340b compliance, Industry Updates

CMS Posts FY2014 Worksheet S-10 Revisions Announcement

Posted by Kyle Pennington on Jul 13, 2017 5:44:09 PM

 

On Thursday, July 13, 2017, CMS announced that “amended FY 2014 cost reports due to revised or initial submissions of Worksheet S-10 received by Medicare Administrative Contractors on or before September 30, 2017, will be uploaded to the Healthcare Cost Report Information System by December 2017”.  In its announcement, CMS stated that “hospitals have requested CMS provide them with an additional opportunity to revise the Worksheet S-10 submitted with their FY 2014 cost reports (starting on or after October 1, 2013, and prior to October 1, 2014)”.

 

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Topics: Medicare DSH Reimbursement, DSH Reimbursement, Industry Updates, worksheet s-10, S-10, factor 3, CMS transmittal

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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