Southwest Consulting Associates Blog

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

PRRB Rules and Electronic System

Posted by Stacie Snider on Feb 28, 2019 10:28:03 AM

In January, CMS issued a MLN Matters newsletter reviewing the new electronic system for Provider Reimbursement Review Board (PRRB) Medicare cost report appeals. The electronic system, referred to as OH CDMS (Office of Hearings Case and Document Management System), is a web-based portal that allows providers to submit all necessary appeals documents electronically.

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Topics: PRRB, appeals, Medicare Cost Report, provider reimbursement, PRRB rules

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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