DSH – Hospitals serving a large population of indigent patients may receive a DSH bonus to their Medicare payments. This Medicare DSH payment is calculated in the Medicare cost report of the hospital. This is summarized by CMS in the following summary.
Hospital Outliers
October 4, 2010Hospitals can receive bonus payments above the DRG payment for outliers. Outliers are payments for very expensive cases. A CMS summary of this can be found here.
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Posted by rvaks
Hospice Caps
October 2, 2010There is a cap on Medicare reimbursement for inpatient hospice care days, and also a cap for an average payment per beneficiary. Palmetto’s website has a nice summary of these caps and a calculator to calculate overpayments due to these caps. It can be found here.
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Posted by rvaks
Medicare GME and IME Credit
September 30, 2010Although the hospital Medicare cost report computes a bonus for GME and IME for Medicare HMO days, the hospital must send no-pay bills to traditional Medicare for those days. (PRRB 2009-D20).
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Posted by rvaks
New Outlier Computations for HHA in 2010
September 28, 2010HHA Medicare payments in 2010 will have outliers computed based upon a Fixed Dollar Loss (“FDL”) of .67, compared to an FDL of .89 in 2009. The FDL is adjusted for the wage index of the HHA’s location. (The HHA Medicare cost report is used to compute the outlier payment.)
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Posted by rvaks
HHA 2010 Medicare Payment Update
September 26, 2010HHA 2010 Medicare payment update has a 2.0 inflation update, but 2.75% reduction for ‘unwarranted’ case mix increase, and changes in outlier payments (10% cap per agency). The Federal Register shows an increase of the base rate for 60-day episodes from $2271.92 to $2312.94 (1.8% increase).
It can be found in the Federal Register by clicking here
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Influenza Vaccine Payment Allowances – Annual Update for 2009-2010 Season
September 24, 2010The flu vaccine payment allowance has been updated for the current year. The final reimbursement for the vaccine is settled on the Medicare cost report. More information can be found here.
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Reflections from Fall Medicare Cost Report Training
September 22, 2010Fall has definitely arrived! The weather is getting cooler and leaves are changing colors. The kids are back in school and are busy learning. We here at Progressive Provider Services have also been busy with our ‘Back to School’ Fall Medicare Cost Report Seminars.
Solomon Melamed hosted Understanding the Medicare Cost Report for Hospitals. This well attended seminar gave the participants an in-depth analysis of all the detailed components necessary to complete a Cost Report for a hospital.
Blimi Schwartz hosted Medicare Cost Reporting 101 for Skilled Nursing Facilities (SNF). This webinar clarified and clearly explained the Cost Report and participants left this informative webinar with a confidence of the various aspects of the Cost Report.
Rachel Vaks was the host for Understanding the Medicare Cost Report for Home Health Agencies (HHA). Participants were given a background to Medicare and an overview of the Cost Report process. Then, participants were walked through the actual Cost Report together with the PS&R and given a clear understanding of the many components of the Cost Report.
Cost Report season is approaching quickly and make sure that you’re prepared! Contact Blimi Schwartz at blimi@ppsassistant.com for more information regarding upcoming Cost Report Seminars.
We are also avaiable to take the Cost Report off of your hands and complete it so that you could focus on the more important aspects of your business. Please contact Blimi for more information.
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Positive Response to Cost Report Training Seminars
September 20, 2010Having just completed another round of Medicare Cost Report Training Seminars, we are pleased to share just a few of the responses we have received from participants:
“Very thorough presentation”
“Very informative”
“I would strongly recommend this webinar to others”
It is not too late to register for the next round of Spring Cost Report Training Seminars. For more information or to register, please click here or call our Michigan branch office at 248-968-4100.
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Green Light Recommended List
September 19, 2010Progressive Provider Services and Med-Calc Software have received the “Green Light Award” from Edward Koscic and Associates, LLC. Edward Koscic and Associates is a software and systems consultant company for the health-care industry.
“Green Light” vendors have been carefully researched by Edward Koscic and Associates, and their products and/or services have continually proven to be first rate.
Click here to see Progressive Provider Services and Med-Calc software listed on Ed Koscik’s recommended “green light” list.
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