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This fact sheet provides information about methods to qualify for the Medicare Disproportionate Share Hospital (DSH) adjustment and other related Medicare policies and regulations.

How to fill out medicare disproportionate share hospital

How to fill out Medicare Disproportionate Share Hospital Fact Sheet

1. Gather necessary information about your hospital, including financial data and patient demographics.
2. Obtain the Medicare Disproportionate Share Hospital (DSH) Fact Sheet template from the appropriate Medicare website or local Medicare office.
3. Start with the hospital's general information section: enter the hospital's name, address, and contact details.
4. Fill in the Medicare Provider Number accurately to ensure proper identification.
5. Provide the number of beds and services offered by the hospital.
6. Document the total number of patients served and the percentage of low-income patients.
7. Calculate and input necessary financial metrics, including total charges and reimbursement amounts from Medicare and Medicaid.
8. Review the instructions section of the fact sheet to ensure compliance with any specific requirements.
9. Double-check all entries for accuracy before submission.
10. Submit the completed fact sheet by the designated deadline to the appropriate Medicare office.

Who needs Medicare Disproportionate Share Hospital Fact Sheet?

1. Hospitals that serve a large number of low-income patients and qualify for Medicaid and Medicare programs.
2. Healthcare administrators and financial officers responsible for reporting and documentation.
3. Regulatory compliance officers in hospitals to ensure adherence to Medicare policies.
4. Healthcare policymakers and analysts seeking data on hospital services and funding.

People Also Ask about

When did DSH payments start?

States began making Medicaid DSH payments in 1981, when Medicaid hospital payments were delinked from Medicare payment levels. Beginning with Medicaid's enactment in 1965, states were required to pay hospitals' reasonable costs, and to comply with this requirement, states mirrored Medicare's hospital payment policies.

Which hospital type does not have a disproportionate share adjustment percentage requirement to qualify for 340B?

Free-standing children's hospitals and free-standing cancer hospitals must have a payer mix that gives them a DSH percentage of greater than 11.75 percent. Critical Access Hospitals do not have a DSH adjustment percentage requirement.

What are the two methods of qualification for a hospital to become a DSH facility?

Hospitals qualify for the Medicare DSH payment adjustment using either the primary method or the alternate special exception method. The primary method applies to hospitals serving a significantly disproportionate number of low-income patients, based on the hospital's disproportionate patient percentage (DPP).

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.

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.

How many states will no longer be eligible for uncompensated DSH payments as a result of the Waiver 1115 update?

Hospitals in Florida, Kansas, Massachusetts, New Mexico, Tennessee, and Texas will no longer be eligible to report section 1115 demonstration days for patients covered by an uncompensated/undercompensated care pool funded by a section 1115 demonstration.

What does DSH mean in healthcare?

The Disproportionate Share Hospital (DSH) Program is a Medi-Cal supplemental payment program.

Which hospital type does not have a disproportionate share adjustment percentage requirement to qualify for 340B?

Free-standing children's hospitals and free-standing cancer hospitals must have a payer mix that gives them a DSH percentage of greater than 11.75 percent. Critical Access Hospitals do not have a DSH adjustment percentage requirement.

For pdfFiller’s FAQs

What is Medicare Disproportionate Share Hospital Fact Sheet?

The Medicare Disproportionate Share Hospital (DSH) Fact Sheet provides information about hospitals that treat a higher-than-average number of low-income patients, explaining the payment adjustments and funding opportunities specific to these facilities.

Who is required to file Medicare Disproportionate Share Hospital Fact Sheet?

Hospitals that receive Disproportionate Share Hospital adjustments from Medicare are required to file the Medicare DSH Fact Sheet.

How to fill out Medicare Disproportionate Share Hospital Fact Sheet?

To fill out the Medicare DSH Fact Sheet, hospitals must provide accurate data on the number of Medicare and Medicaid patients, total inpatient days, and any other required financial information as specified in the instructions.

What is the purpose of Medicare Disproportionate Share Hospital Fact Sheet?

The purpose of the Medicare DSH Fact Sheet is to collect data that helps determine the level of funding adjustments for hospitals that serve a significant number of low-income patients, ensuring they receive equitable compensation for their services.

What information must be reported on Medicare Disproportionate Share Hospital Fact Sheet?

The Medicare DSH Fact Sheet requires hospitals to report information such as patient demographics, number of Medicaid-eligible patients, total bed days, and financial statistics related to their services to low-income populations.