Medicare Disproportionate Share Hospital Reimbursement Analysis

The Medicare Disproportionate Share Hospital (DSH) program reimburses providers that serve a high percentage of low-income patients, but correctly identifying DSH reimbursements can be challenging. Our professionals help hospitals strengthen their DSH reimbursements through a proprietary process that includes detailed and methodical reviews of every patient stay.

By leveraging our direct connections with state Medicaid agencies to identify and document all Medicaid eligible days, we provide an unparalleled review of your patient stays while helping make sure the DSH calculation is in compliance with all applicable laws and regulations.

Our professionals have more than 30 years of experience producing more than 550 DSH reports annually, and all reports are supported through audits, reopenings, or appeals.

Through a DSH reimbursement analysis, you’ll receive:

  • A completed DSH calculation including protest amounts
  • Detailed patient-level support for eligible and protested days
  • Protest language
  • Retroactive Medicaid eligibility matching services
  • Full documentation for a revised report

Since 2004, our Medicare DSH audit acceptance rate for provider clients nationwide has reached 99.96%, including more than 32 million Medicaid days audited by Medicare Administrative Contractors.

Insights


Article
Gain insight on the new FY 2021 IPPS proposed Medicare Disproportionate Share Hospital and uncompensated care provisions.

Webcast
Join us for an overview of the fiscal year 2021 Medicare Inpatient Prospective Payment System (IPPS), including the latest updates and reimbursement issues for hospitals, key changes that are on the horizon, and how you can help your organization prepare.

Webcast
Join us for an on-demand webcast addressing how your hospital can refine its Medicare DSH calculation protocols. We’ll cover the Medicare DSH calculation background, the anatomy of completing the calculation for the Medicare cost report, and much more.

Article
The Medicare DSH reimbursement supplements providers who treat higher percentages of low-income patients. Learn if your hospital qualifies.

Alert
The Centers for Medicare and Medicaid extended filing deadlines for certain Medicare cost report fiscal year ends due to coronavirus. Learn new dates.

Alert
The Centers for Medicare and Medicaid released the Supplemental Security Income (SSI) ratios for 2018. Discover applicable entities and effective dates.

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