tci Medicare Compliance & Reimbursement - 2004 Issue 25

HOSPITALS - Medicare Fractions 101: Let CMS Do Your DSH Math

What hospitals do -- and don't -- have to worry about with the complex DSH pay formula. Calculating disproportionate share hospital pay doesn't need to feel like brain surgery. When working out Medicare and Medicaid fractions for patients with dual eligibility, the word from the HHS Office of Inspector General is that hospitals should never include Medicare Part Apaid days in the Medicaid fraction of their DSH calculations. An audit report released May 21 titled "Review of Medicare Disproportionate Share Hospital Payments Claimed By Saint Mary's Regional Medical Center for Fiscal Year Ending December 31, 2002" (A-01-04-00506) found that...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.