Southwest Consulting Associates Blog

Medicare DSH

Posted by Jeff Norman on Nov 20, 2019 5:17:31 PM

In our realm of Medicare provider reimbursement, Worksheet S-10 has been the hot topic of late. It has certainly been a heavy focus for our last few webinars and blog posts and while Worksheet S-10 has captured the provider reimbursement community's attention, it is important not to lose sight of the Medicare Disproportionate Share Hospital (DSH) program. Now, the affordable care act initially changed the Medicare DSH calculation (hence the S-10 popularity), but there have been additional changes enacted in recent rounds of rule making that hospitals should be aware of when it comes to DSH. For this reason alone, we thought that it’s a perfect time to revisit the Medicare DSH calculation starting with a basic 101 and then expand on the changes in future posts.

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Topics: DSH Reimbursement, Medicare DSH Reimbursement, cost reporting, Medicare Cost Report, provider reimbursement

2020 Inpatient Acute (IPPS) Final Rule Update: Standardized Rates

Posted by Stacie Snider on Oct 24, 2019 4:41:25 PM

We are now in the midst of Federal fiscal year (FFY) 2020 which began at the start of this month. A new Federal fiscal year brings with it new standardized rates that affect hospital discharges on or after October 1, 2019. Each year, CMS publishes updates to the regulations for inflation factors, wage adjustments, etc., which for the current FFY, can be found in the 2020 Inpatient Acute (IPPS) final rule on the CMS website. It is important to note that CMS published a correction notice on October 8, 2019, in which standardized rate values were revised and now differ from what was published in the August version of the final rule.

 

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Topics: Industry Updates, regulations, final rule, ipps rule, provider reimbursement

Texas UC Payment Applications

Posted by Jamie Pennington on Sep 19, 2019 3:53:34 PM

In Texas, hospitals must apply and ultimately qualify for payment to participate in the Disproportionate Share Hospital (DSH) and Uncompensated Care Section 1115 waiver (UC) programs. Texas hospitals that wish to participate in either the FFY 2020 DSH and/or the demonstration year (DY) 9 UC must request an application to apply from HHSC and the online application request form must be submitted no later than 5 pm, Friday, September 20, 2019.  Failure to apply by the deadline will result in the hospital not being able to participate in these Texas Medicaid Supplemental Payment Programs and loss of appeal rights to a non-qualification decision.

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Topics: uncompensated care, worksheet s-10, uncompensated care payment, provider reimbursement, Texas UC payment

Top 4 Takeaways from the Health Financial Systems User Meeting

Posted by Stacie Snider on Sep 16, 2019 8:45:00 AM

Hospital providers from all over the country converged at this year’s Health Financial Systems User Meeting in hopes to hear updates on the latest issues affecting Medicare reimbursement. This year’s two-day meeting curated twenty-three different presentations ranging from Medicare cost report form changes to software reviews and Medicare information updates. We could write for days on all of the information we absorbed at this year’s assembly, but after reviewing our catalog of notes and identifying the recurring themes across presentations, we’ve compiled our top four takeaways we think hospital providers should be aware of to improve their reimbursement areas, their cost reports and maintain compliance with Medicare regulations. 

 

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Topics: Industry Updates, cost reporting, Medicare Cost Report, provider reimbursement, Health Financial Systems

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

CY 2020 End-Stage Renal Disease Proposed Rule Update

Posted by Stacie Snider on Sep 5, 2019 7:55:00 AM

The End-Stage Renal Disease (ESRD) 2020 proposed rule was published in the Federal Register August 6, 2019, and affects discharges on or after January 1, 2020. Each year, CMS publishes updates to the regulations for inflation factors, wage adjustments, etc., and for calendar year (CY) 2020, CMS has proposed the following updates to the End-Stage Renal Disease rates:

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Topics: Industry Updates, proposed rule

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

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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