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Last Modified: 11/14/2017 Location: FL, PR, USVI Business: Part A

IPPS hospitals: Review FY 2014 and FY 2015 worksheet S-10 cost report data

Form CMS-2552-10 modified the application of the cost-to-charge ratio for hospital uncompensated and indigent care amounts reported on worksheet S-10. The modification is applied to all FY 2014 and 2015 cost reports, both amended and not amended, for inpatient prospective payment system (IPPS) hospitals eligible for a disproportionate share (DSH) payment adjustment. To benefit from the modified calculations, review worksheet S-10 data to ensure your cost reports pass all edits. Amend your cost report if an edit is flagged; amendments must be received on or before January 2, 2018. Approximately 300 DSH eligible IPPS providers will need to amend their cost reports to correct these edits. We will be sending an amended cost report request letter to providers we were able to identify but please review your affected cost reports to benefit from the modified calculations.
Worksheet S-10 edits ensure:
Medicare allowable bad debts do not exceed total facility bad debts
Charity care charges do not exceed total facility charges
Charges for patient days beyond the indigent care program's length of stay limit (line 20, column 2) are greater than or equal to charges for patient days beyond the indigent care program's length of stay limit (line 25)
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