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This document is a survey for hospitals to determine their eligibility for Medicaid Disproportionate Share Hospital payments, collecting information about their services, patient types, and financial
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How to fill out disproportionate share hospital dsh
How to fill out Disproportionate Share Hospital (DSH) Eligibility Survey
01
Gather necessary patient information such as demographics, insurance status, and income levels.
02
Review the guidelines for the Disproportionate Share Hospital Eligibility Survey to ensure compliance.
03
Complete each section of the survey, filling in patient details accurately and completely.
04
Double-check for any errors or missing information before submission.
05
Submit the completed survey by the specified deadline, ensuring you have confirmation of receipt.
Who needs Disproportionate Share Hospital (DSH) Eligibility Survey?
01
Hospitals that treat a high number of low-income patients.
02
Healthcare providers seeking additional federal funding.
03
Administrators aiming to qualify for Disproportionate Share Hospital funding.
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People Also Ask about
What is the 340B percentage?
The 340B ceiling price is the average manufacturer price (AMP) reduced by the unit rebate amount (URA). The URA is a minimum rebate percentage of 23.1 percent for most brand-name prescription drugs, 17.1 percent for brand-name pediatric drugs and clotting factor, and 13 percent for generic and over-the-counter drugs.
What is a disproportionate share adjustment percentage?
The DSH patient percentage is equal to the sum of the percentage of Medicare inpatient days attributable to patients eligible for both Medicare Part A and Supplemental Security Income (SSI), and the percentage of total inpatient days attributable to patients eligible for Medicaid by not Medicare Part A.
What does DSH mean in healthcare?
The Disproportionate Share Hospital (DSH) Program is a Medi-Cal supplemental payment program.
Where to find DSH percentage on cost report?
Line 33 indicates the hospital's disproportionate share adjustment percentage (DSH%). All hospitals (except for CAH) need to meet a minimum DSH% threshold to be eligible for the 340B Program.
What is the DSH percentage for RRC?
SCHs and RRCs must have an adjustment percentage of greater than 8 percent. Although free-standing children's hospitals and free-standing cancer hospitals do not receive DSH adjustment payments, they must have a payer mix that would give them a DSH percentage of greater than 11.75 percent.
What is a disproportionate share adjustment percentage?
The DSH patient percentage is equal to the sum of the percentage of Medicare inpatient days attributable to patients eligible for both Medicare Part A and Supplemental Security Income (SSI), and the percentage of total inpatient days attributable to patients eligible for Medicaid by not Medicare Part A.
How to calculate disproportionate share adjustment percentage?
The DPP equals the sum of the percentage of total Medicare patient days attributable to patients entitled to both Medicare Part A (including Medicare Advantage patient days, patient days not covered under Part A, and days when patients exhaust their Part A benefits) and Supplemental Security Income (SSI), and the
What is the DSH percentage for RRC?
SCHs and RRCs must have an adjustment percentage of greater than 8 percent. Although free-standing children's hospitals and free-standing cancer hospitals do not receive DSH adjustment payments, they must have a payer mix that would give them a DSH percentage of greater than 11.75 percent.
Which provisions reduced disproportionate share hospital payments?
Congress reduced Medicaid DSH payments in the Affordable Care Act (ACA), reasoning that hospitals would care for fewer uninsured patients as health coverage expanded.
Where to find DSH percentage on cost report?
Line 33 indicates the hospital's disproportionate share adjustment percentage (DSH%). All hospitals (except for CAH) need to meet a minimum DSH% threshold to be eligible for the 340B Program.
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What is Disproportionate Share Hospital (DSH) Eligibility Survey?
The Disproportionate Share Hospital (DSH) Eligibility Survey is a tool used to assess and determine the eligibility of hospitals that serve a significant number of low-income patients for additional federal funding.
Who is required to file Disproportionate Share Hospital (DSH) Eligibility Survey?
Hospitals that have a DSH designation and wish to receive federal funds to compensate for providing care to a high volume of low-income patients are required to file the DSH Eligibility Survey.
How to fill out Disproportionate Share Hospital (DSH) Eligibility Survey?
To fill out the DSH Eligibility Survey, hospitals must collect data on patient demographics, payer sources, and financial information, and submit the completed survey according to specified guidelines and timelines set by the relevant health authorities.
What is the purpose of Disproportionate Share Hospital (DSH) Eligibility Survey?
The purpose of the DSH Eligibility Survey is to ensure that funds are allocated to hospitals that provide necessary services to low-income populations, thus helping to support their financial stability and the availability of healthcare services.
What information must be reported on Disproportionate Share Hospital (DSH) Eligibility Survey?
The information that must be reported includes patient counts by payer type (Medicaid, uninsured, etc.), hospital financial data, service capacity, and other relevant statistics that demonstrate the hospital's role in serving low-income populations.
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