Southwest Consulting Associates Blog

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

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

Worksheet S-10 Audits

Posted by Kyle Pennington on Feb 4, 2019 12:33:57 PM


The Uncompensated Care pool reimbursement payment is viewed as a zero-sum game, with one hospital’s reimbursement gain through the program becoming another hospital’s loss.  While Worksheet S-10 has been used for UC reimbursement purposes for only a short time, audits of the S-10 data to ensure its accuracy and consistency have been a high priority for hospital providers.  In its 2019 final IPPS rule, CMS stated that, due to the overwhelming feedback from commenters emphasizing the importance of audits, they would begin the inaugural audits in fall 2018. 

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Topics: worksheet s-10, uncompensated care, Medicare Cost Report, S-10

Medicare Cost Report Electronic Signature Steps

Posted by Stacie Snider on Nov 6, 2018 10:39:49 AM

Due to overwhelming response for more information on CMS’ electronic signature feature noted in “Medicare Cost Reporting – 7 Things to Know”, we’ve put together a follow up post to review the cost report electronic signature application steps.

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Topics: Medicare Cost Report, cost reporting, electronic signature

Cost to Charge Ratio Review For Worksheet S-10 Uncompensated Care Reporting

Posted by Stacie Snider on Nov 1, 2018 11:14:25 AM

With CMS using cost report Worksheet S-10 to determine a provider’s UC Factor 3 and ultimately their portion of federal uncompensated care payments, ensuring the accuracy of Worksheet S-10 reporting is essential for all Medicare DSH-eligible hospitals.  Now, while we know that line 30 ultimately drives Factor 3, it is recommended hospitals review ALL data on S-10, not just the data that feeds to line 30.  This includes looking closer at the cost to charge ratio (CCR) to ensure hospitals are capturing all costs that are considered allowable. As you may know, the cost to charge ratio has a direct effect on the data that is reported on Medicare cost report Worksheet S-10, which then in turn impacts UC payments.

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Topics: cost to charge ratio, cost reporting, Medicare Cost Report, worksheet s-10

Medicare Cost Reporting Updates - 7 Things to Know

Posted by Stacie Snider on Oct 24, 2018 1:56:42 PM

The Centers for Medicare and Medicaid Services (CMS) has made updates to the cost reporting software, the rules for filing a hospital Medicare cost report and noted future potential changes.  Here are 7 things to know:

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Topics: cost reporting, Medicare Cost Report

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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