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Tag: DSH

Medicare DSH Uncompensated Care Updates

We were ecstatic when learning that CMS in the IP PPS Acute final rules decided to not implement the proposed used of Worksheet S-10 information for the DSH Factor 3 calculation beginning in FY2018 (As reported to you on August 5th).   However, they left open the possibility of using some other type of proxy until revised S-10 instructions are issued.

We have since learned that while there is no current plan from CMS for implementing some form of S-10 in FY2018, CMS stated that this could all change in a new Presidential Administration.  Further that it is possible that the FY2014 S-10 cost report information could still be used in some fashion.  What does this mean?  It means that it is still prudent to take a look at your FY2014 S-10 cost report information and revise this filing if material changes are discovered.

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CMS Releases 2014 SSI Updated File Today

From: CMS DSH Website – 7/15/16

The long awaited FFY2014 SSI file was posted by CMS earlier today.  This updated SSI will be used in the Inpatient Acute PPS FY2017 final rules for the development of the DSH Uncompensated Care Factor 3.  This SSI file will also be used for Inpatient Acute hospitals with fiscal years that begin from 10/1/13 – 9/30/14.  For calendar year providers this applies to FYE 12/31/14 and for June yearend providers this file will apply to FYE 6/30/15.

We have prepared a four year comparison (i.e. FFY 2011-2014) SSI file of the acute hospitals for your use.  Click here to download this comparison file.

CMS also released a transmittal today announcing the 2014 SSI release.  Here is a summary of this transmittal:

SUMMARY OF CHANGES:

These instructions notify Medicare Administrative Contractors (MACs) of the availability of updated data and instructions on how to access such data for determining the disproportionate share adjustment for IPPS hospitals and the low income patient (LIP) adjustment for IRFs as well as payments as applicable for LTCH discharges. The SSI/Medicare beneficiary data for hospitals are available electronically and contains the name of the hospital, Centers for Medicare & Medicaid Services (CMS) certification number, SSI days, total Medicare days, and the ratio of Medicare Part A patient days attributable to SSI recipients.

Inpatient Rehab SSI Release – FY2014

Concurrently with the Acute IP Hospital SSI release, CMS announced the Inpatient Rehab SSI release for FY2014 that is used for the Low Income Payment (LIP) calculation.  The link above is will take you to the Rehab SSI location.  However as of this writing (Friday 7/15 2:30PM PST) the 2014 SSI data has not yet been posted.

CMS Releases 2014 SSI Updated File Today

 

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FFY2013 SSI File Released

CMS released the FFY 2013 SSI file yesterday.  The 2013 SSI file is applicable to 12/31/13 & 6/30/14 cost report fiscal year ends.  CMS stated in the recently issued proposed IP PPS rules for 2016, that they intend to use the 2013 SSI information in the construction of the finalized DSH Uncompensated care Factor 3 calculation.

FFY2013 SSI File Released

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