On April 28, 2017, CMS published the FFY 2018 IPPS Proposed Rule in the Federal Register. Go HERE for our summary of the Medicare DSH/Uncompensated care payment portion of the proposed rule. After years of discussion on Worksheet S-10 and false starts on the use of uncompensated care data for Medicare DSH/UC pool distribution purposes, CMS appears to finally be moving forward with implementation. Did anyone else have a moment of deja vu?
Topics: DSH Reimbursement, Medicare DSH Reimbursement, uncompensated care, S-10, regulations, proposed rule, worksheet s-10, factor 3
2018 IPPS Proposed Rule Comment Letter Submitted to CMS
Posted by Jamie Pennington on Jun 15, 2017 11:39:13 AM
The FY 2018 IPPS proposed rule was published in the Federal Register on April 28, 2017. All comments to the rule were to be submitted to CMS by Tuesday, June 13, 2017. Like in past years, Southwest Consulting Associates (SCA) performed extensive analysis of the proposed rule and submitted comments in response to CMS’ FY 2018 IPPS Notice of Proposed Rulemaking (NPRM). SCA’s comments primarily related to the proposed changes in the payment adjustment for Medicare Disproportionate Share Hospitals (DSH) including the Uncompensated Care (UC) payment component.
Topics: DSH Reimbursement, Medicare DSH Reimbursement, uncompensated care, Industry Updates, S-10, regulations, proposed rule, worksheet s-10
On April 28, 2017, CMS published the FFY 2018 IPPS Proposed Rule in the Federal Register. After years of discussion on Worksheet S-10 and false starts on the use of uncompensated care data for Medicare DSH/UC pool distribution purposes, CMS appears to have finally moved forward with implementation. Go HERE for our summary of the Medicare DSH/Uncompensated care payment portion of the proposed rule. In this post, we will take a dive into Factor 2 as described in the proposed rule. For a quick refresher on Factor 2, go HERE.
Topics: DSH Reimbursement, Medicare DSH Reimbursement, uncompensated care, S-10, regulations, proposed rule, worksheet s-10, factor 2
On April 28, 2017, CMS published the FFY 2018 IPPS Proposed Rule in the Federal Register. After years of discussion on Worksheet S-10 and false starts on the use of uncompensated care data for Medicare DSH/UC pool distribution purposes, CMS appears to have finally moved forward with implementation. Go HERE for our high-level summary of the Medicare DSH/Uncompensated care payment portion of the proposed rule. In this post, we will take a dive into Factor 1 as described in the proposed rule. For a quick refresher on Factor 1, go HERE.
Topics: DSH Reimbursement, Medicare DSH Reimbursement, uncompensated care, S-10, regulations, proposed rule, worksheet s-10
2018 IPPS Proposed Rule: Cost Report Worksheet S-10 to determine Medicare DSH/Uncompensated Care Payment
Posted by Jamie Pennington on May 18, 2017 1:54:40 PM
The 2018 IPPS Proposed Rule was published in the Federal Register on April 28, 2017. If finalized, these changes will go into effect October 1, 2017. The published version can be viewed HERE. Public comments will be accepted until 5 p.m. EDT on June 13, 2017. Below is SCA’s brief, yet comprehensive summary on the Medicare DSH/Uncompensated Care payment portion of the proposed rule as it will affect DSH hospitals.
Topics: DSH Reimbursement, Medicare DSH Reimbursement, uncompensated care, Compliance, Industry Updates, S-10, regulations, proposed rule, healthcare finance, worksheet s-10
The 2018 IPPS Proposed Rule was put on display for public inspection on April 14, 2017 and is scheduled to be published in the Federal Register on Friday, April 28, 2017. 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 Tuesday, June 13, 2017. SCA will be reviewing and analyzing the details of the proposed rule and its components, and we will provide our conclusions soon.
Topics: DSH Reimbursement, Medicare DSH Reimbursement, Industry Updates, S-10, proposed rule
PRRB Issues Decision in Massachusetts CCHIP Case
Posted by Michael Newell on Mar 22, 2017 1:36:03 PM
Topics: DSH Reimbursement, Medicare DSH Reimbursement, DSH Litigation Environment, PRRB decisions
In anticipation that CMS might finalize the DSH/UC payment methodology proposed in the 2017 IPPS proposed rule, CMS released Change Request 9648, Transmittal 1681 (please see page 3, paragraph 2) in July, which included, among other items, guidance for MACs to follow for accepting cost reports containing revised Worksheet S-10 information. Specifically, in order for MACs to accept amended cost reports due to revisions to Worksheet S-10 for FY 2014, CMS put providers on notice by stating that “hospitals must submit their amended cost report containing the revised Worksheet S-10…no later than September 30, 2016.” CMS added, “Submissions received on or after October 1, 2016 will not be accepted.”
Topics: DSH Reimbursement, Medicare DSH Reimbursement, uncompensated care, S-10
2017 IPPS Final Rule, Medicare DSH Reimbursement & Worksheet S-10
Posted by Michael Newell on Sep 6, 2016 12:57:56 PM
On August 2, 2016, CMS posted the 2017 IPPS final rule. While we will provide a comprehensive summary of the rule in the near future, this post relates to the changes that CMS is making regarding Medicare DSH reimbursement and the use of cost report worksheet S-10 to calculate factor 3 for federal fiscal years 2018-2021. As you recall, in the 2017 proposed rule, CMS indicated that it would begin using S-10 to calculate factor 3, at least in part, beginning in FFY 2018. However, in the final rule CMS states:
Topics: DSH Reimbursement, Medicare DSH Reimbursement, uncompensated care, S-10, regulations, final rule
2016 OPPS Final Rule - Medicare DSH & New Substantive Reimbursement Requirement
Posted by Lindsay Webb on Apr 7, 2016 10:45:10 AM
As we conclude the end of the first quarter subject to the 2016 OPPS Final Rule, hospitals MUST evaluate the new substantive reimbursement requirement (beginning on page 255 of the Federal Register 2016 OPPS Final Rule) recently imposed by CMS. Introduced in the 2015 IPPS Proposed Rule, and later adopted in the 2016 OPPS Final Rule, CMS incorporated into the regulations a concept initially introduced by the PRRB Board Rules in 2008.
Topics: DSH Reimbursement, Medicare DSH Reimbursement, regulations, final rule, OPPS