Medicare DSH Eligible Days
Disproportionate Share Hospital (DSH) entitlements are one of the Medicare program's most scrutinized areas. Once hospitals have submitted their Medicaid eligible days, the Fiscal Intermediary (FI) samples the supporting patient day information. Errors found in the supporting documentation can result in large patient day disallowances due to the extrapolation of the error rate. Eligible day listings that contain significant errors can result in costly DSH entitlement reductions.
Our experts have spent decades working closely with the FI. We know how to maximize the eligible days allowed for your hospital and our system scours the list to ensure that clean data is provided to the FI. Anyone can submit data. Toyon Associates does it better. Our stringent process includes:
Extensive safety checks. Toyon Associates filters through data on four separate levels. No more being penalized for over-claiming. No more missed opportunities. The final data submitted is highly accurate.
Audit Support. We stand behind our work. Each list has the documentation necessary to pass inspection.
Appeal. We systematically identify eligibility issues up front that will need to be appealed later. This keeps the DSH data clean and allows an effective means for pursuing maximum eligibility. Learn more about Appeals.
Interested in maximizing DSH eligible days? Contact us today.