WebThe DSH payment is calculated using a formula that accounts for patients treated at the hospital that are insured under Medicare (the “Medicare fraction”) and those who qualify for Medicare but are not insured under it (the “Medicaid fraction”). WebHowever, it has not been commonly used in the Medicaid DSH calculations. Medicare SSI days are days where patients were entitled to benefits under Medicare Part A and to supplemental security income (SSI) benefits (excluding any State supplementary benefits paid with respect to such patients).

Proposed Rule for DSH Treatment of Medicare Part C Days - Moss …

WebAug 6, 2024 · CMS proposes that Medicare Advantage (MA), or Medicare Part C, days be included in the Medicare or supplemental security income (SSI) fraction of the Medicare … track field 17

Top Questions from the Disproportionate Share and Medicaid …

WebA hospital’s Supplemental Security Income (SSI) percentage, is an important factor in calculating DSH reimbursements. The SSI ratio, also known as the Medicare fraction, represents the percentage of patient days for beneficiaries who are eligible for both Medicare Part A and SSI. Web21 hours ago · How the Department of Health and Human Services calculates the annual supplemental payments, known as disproportionate share hospital (DSH) adjustments, is … WebFeb 2, 2024 · Hospitals should research annually whether their facility could benefit from realigning their SSI percentage. If this hasn’t been historically or consistently reviewed, your hospital should perform a look back through … the rock gay song