Southwest Consulting Associates Blog

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

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

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

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

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: DSH Reimbursement, Medicare DSH Reimbursement, Industry Updates, SSI Recalculations, factor 3, ssi ratio, 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: DSH Reimbursement, Medicare DSH Reimbursement, uncompensated care, Compliance, Industry Updates, S-10, regulations, final rule, worksheet s-10

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

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: Industry Updates, PRRB

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

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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