Are You Receiving the Appropriate DSH Payment for Your Uncompensated Care?
The proposed federal fiscal year (FFY) 2019 Medicare inpatient prospective payment system (IPPS) rule continues to incorporate uncompensated care cost information from Worksheet S-10 (S-10) of the Medicare cost report. Redistributions of the uncompensated care portion of Medicare disproportionate share hospital (DSH) payments among providers is significant and will continue as a result of using two years of S-10 information for the calculation.
The Centers for Medicare & Medicaid Services (CMS) allowed hospitals to revise FFY 2014 and 2015 S-10 schedules by January 2, 2018. We encourage hospitals to review their FFY 2016 S-10 schedules and amend accordingly.
To complicate the matter, instructions change for cost reporting periods beginning on or after October 1, 2016, and understanding these revised instructions is imperative for compliance. In addition, the proposed rule, if finalized, will require hospitals to include a detailed listing of charity patients supporting the S-10 amounts or the Medicare cost report will be rejected.
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