Medicare Disproportionate Share (DSH) Entitlement
Revenue Entitlement / Medicare Disproportionate Share (DSH) EntitlementToyon Associates has decades of experience preparing DSH listings and working closely with the MACs to document and support the Medicaid eligible day population. We provide a proprietary documentation system to quickly and efficiently identify all eligible days (in-state and out-of-state) with a focus on compliance with Medicare requirements to accurately report your hospitals’ DSH entitlement. Our DSH tool integrates and communicates with Toyon-developed business intelligence tools designed to automate DSH reporting, allowing us to submit and receive patient eligibility from any state, and incorporate the data into a standardized and MAC compliant format. This business intelligence tool is linked to our client reports, providing your organization access to dashboards to monitor your data.
Toyon provides the following upon completion:
Summary of paid and eligible days
Listing of unresolved payment pending accounts for follow up (as applicable)
Listing of paid, managed care, other eligible, and out-of-state days for Medicare cost reporting purposes; and an electronic deliverable file
Listing of days to include as protest/appeal items
Summary and listing of mother, newborn, and labor room days
Estimated Medicare DSH and capital DSH entitlement
Calculation of the estimated impact of the additional eligible days identified
Executive summary and detailed findings and recommendations report, which may include process improvement and/or automation opportunities
We also offer Supplemental Security Income (SSI) year-end realignment services.
Medicare Disproportionate Share (DSH) Entitlement
Our team utilizes business intelligence tools to accurately report your DSH entitlement.
Transplant Services
We partner with you to assess compliance with the complex transplant reporting requirements and accuracy of the requested revenue entitlement.
Medicare Uncompensated Care
Our team accurately reports your uncompensated care entitlement utilizing our proprietary business intelligence tools.
Medical Education
Our team partners with you to accurately manage all aspects of DGME/IME finance and reimbursement.
Medicare Bad Debt
Our team expertly identifies, captures, and reports revenue entitlement to assure compliance with complex regulatory requirements and accurate revenue entitlement.
Medicaid DSH and Supplemental Funding Support
Toyon Associates efficiently prepares cost data to secure Medicaid revenue while maintaining compliance.
Wage Index and Occupational Mix Services
We thoroughly analyze your wage, benefit, contract labor and home office data for accurate reporting.
Medicare and Medicaid Appeals
Save hours by letting us handle regulation navigation and preparation of accurate, compliant appeals.
Get started with Toyon today.
info@toyonassociates.com
(888) 514-9312
Concord CA | Costa Mesa CA | Knoxville TN