Southwest Consulting Associates Blog

FY 2020 IPPS Final Rule Posted

Posted by Jamie Pennington on Aug 2, 2019 4:40:07 PM

The FY 2020 Inpatient Prospective Payment System (IPPS) Final Rule was put on display for public inspection on August 2, 2019, and is scheduled to be published in the Federal Register on August 16, 2019.  The pre-publication version can be viewed HERE or on the FY 2020 IPPS Final Rule homepageThese changes will go into effect October 1, 2019.  

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Topics: Medicare DSH Reimbursement, Industry Updates, S-10, regulations, proposed rule, worksheet s-10, factor 3, uncompensated care payment, ipps rule, provider reimbursement

FY 2020 IPPS Proposed Rule Review Part 2: Medicare DSH

Posted by Michael Newell on Jul 30, 2019 5:12:51 PM

In part 2 of our FY 2020 IPPS Proposed Rule Review series, we will take a look at the one DSH item included in the proposed rule that may be of some interest to you. It appears this item stems from the fact that there are a large number of PRRB appeals involving Medicaid eligible days and the agency is struggling for ways to deal with that issue. It appears that the agency recognizes that there is a legitimate issue to be addressed in terms of including all identified Medicaid eligible days in a hospital’s cost report, but that there might be a better way to proceed and alleviate the backlog of appeals on this issue at the Provider Reimbursement Review Board.

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Topics: Medicare DSH Reimbursement, appeals, ipps rule, PRRB rules

FY 2020 IPPS Proposed Rule Review Part 1: Worksheet S-10 Uncompensated Care Payment

Posted by Jamie Pennington on Jul 29, 2019 3:51:58 PM

The 2020 IPPS Proposed Rule was published in the Federal Register back in May and public comments were accepted up until June 24. We anticipate that the FY 2020 IPPS Final Rule will be published in early August (perhaps as early as this week) and any changes will go into effect October 1, 2019. In advance of the Final Rule, we thought it would be helpful to review the Medicare DSH/Uncompensated Care payment portions (pages 19406-19423 in the Federal Register) of the proposed rule as it will affect qualifying DSH hospitals.

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

FY 2020 IPPS Proposed Rule

Posted by Jamie Pennington on Apr 24, 2019 3:23:43 PM

The FY 2020 Inpatient Prospective Payment System (IPPS) Proposed Rule was put on display for public inspection on April 23, 2019, and is scheduled to be published in the Federal Register on May 3, 2019.  The pre-publication version can be viewed HERE or on the FY 2020 IPPS Proposed Rule homepage.  If finalized, these changes will go into effect October 1, 2019.  All public comments to the proposed rule are to be received by 5 pm EST on Monday, June 24, 2019.

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Topics: Medicare DSH Reimbursement, Industry Updates, S-10, regulations, proposed rule, worksheet s-10, factor 3, uncompensated care payment, ipps rule, provider reimbursement

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

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

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

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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