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REIMBURSEMENT ISSUES RELATED TO SWING BED CONVERSIONS. MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524. SWING BED CONVERSIONS ONLY WORK FOR CRITICAL ACCESS HOSPITALS.

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reimbursement issues related to swing bed conversions

REIMBURSEMENT ISSUES RELATED TO SWING BED CONVERSIONS

MICHAEL R. BELL & COMPANY

12 EAST ROWAN, SUITE 2

SPOKANE, WASHINGTON 99207

(509) 489-4524

swing bed conversions only work for critical access hospitals

SWING BED CONVERSIONS ONLY WORK FOR CRITICAL ACCESS HOSPITALS

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

cah reimbursement swing bed vs skilled nursing home
CAH REIMBURSEMENTSWING BED VS SKILLED NURSING HOME
  • SWING BED – MEDICARE PAYS FULL COST BASED REIMBURSEMENT
  • SKILLED NURSING HOME – MEDICARE PAYS RUG BASIS OF REIMBURSEMENT

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

however medicare skilled nh care reimbursement is not the issue with swing bed conversions
HOWEVERMEDICARE SKILLED NH CARE REIMBURSEMENT IS NOT THE ISSUE WITH SWING BED CONVERSIONS

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

the issue with swing bed conversions is converting unreimbursed cost to reimbursable cost
THE ISSUE WITH SWING BED CONVERSIONS IS CONVERTING UNREIMBURSED COST TO REIMBURSABLE COST

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

what is a swing bed
WHAT IS A SWING BED?

A SWING BED IS A BED THAT CAN BE USED FOR:

  • OBSERVATION BED
  • ACUTE CARE
  • SKILLED NURSING HOME CARE
  • INTERMEDIATE NURSING HOME CARE

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

swing beds do not have to be used for all four purposes all the time

SWING BEDS DO NOT HAVE TO BE USED FOR ALL FOUR PURPOSES ALL THE TIME

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

can swing beds be used for short term care
CAN SWING BEDS BE USED FOR SHORT TERM CARE?

ABSOLUTELY

YOU HAVE ALL USED SWING BEDS FOR SHORT TERM CARE

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

can swing beds be used for long term nh care
CAN SWING BEDS BE USED FOR LONG-TERM NH CARE?

ABSOLUTELY

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

can the hospital set aside beds
CAN THE HOSPITAL SET ASIDE BEDS?

OBSERVATION BED YES

ACUTE CARE YES

SHORT TERM SWING BED

SKILLED NH CARE YES

SHORT TERM SWING BED

INTERMEDIATE CARE YES

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

why would i want to convert long term beds to swing

WHY WOULD I WANT TO CONVERT LONG-TERM BEDS TO SWING?

MORE MEDICARE

ACUTE CARE REIMBURSEMENT

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

the key to swing bed conversions is medicare s handling of non medicare swing bed days

THE KEY TO SWING BED CONVERSIONS IS MEDICARE’S HANDLING OF NON-MEDICARE SWING BED DAYS

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

the following is a simple example
THE FOLLOWING IS A SIMPLE EXAMPLE

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

who qualifies
WHO QUALIFIES
  • DAYTON YES
  • PORT ANGELES NON-CAH
  • SOAP LAKE NON-CAH
  • NEWPORT YES
  • EPHRATA ALREADY AT MAX
  • PROSSER YES
  • FORKS YES
  • ODESSA YES
  • POMEROY YES
  • TONASKET YES
  • REPUBLIC YES
  • QUINCY YES
  • DAVENPORT YES
  • GRAND COULEE YES
  • RENTON NON-CAH
  • MORTON YES

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

slide17
HOW MANY BEDS SHOULD BE CONVERTED?A CRITICAL ACCESS HOSPITAL IS LIMITED TO 25 ACUTE CARE AND SWING BEDS

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

to determine how many nh beds should be converted several questions must be answered
TO DETERMINE HOW MANY NH BEDS SHOULD BE CONVERTED SEVERAL QUESTIONS MUST BE ANSWERED?

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

how many acute care beds do you need to meet the current demand

HOW MANY ACUTE CARE BEDS DO YOU NEED TO MEET THE CURRENT DEMAND?

KEEP IN MIND THAT BEDS USED STRICTLY FOR OUTPATIENT SERVICES DO NOT COUNT AS PART OF THE 25 BED LIMIT

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

how many swing beds do you already have
HOW MANY SWING BEDS DO YOU ALREADY HAVE?

MOST

CRITICAL ACCESS HOSPITALS ALREADY HAVE EITHER

5 OR 6 SWING BEDS

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

the maximum swing bed conversion is 25 beds less needed acute care beds less existing swing beds

THE MAXIMUM SWING BED CONVERSION IS 25 BEDS LESS NEEDED ACUTE CARE BEDSLESS EXISTING SWING BEDS

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

do you want to convert the maximum
DO YOU WANT TO CONVERT THE MAXIMUM?

LARGE NURSING HOMES YES

SMALL NURSING HOMES ?

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

for facilities with small nursing homes a partial conversion is recommended
FOR FACILITIES WITH SMALL NURSING HOMES A PARTIAL CONVERSION IS RECOMMENDED

CONVERT ALL NURSING HOME BEDS AND

PRO SHARE ELIGIBILITY

MAY BE ELIMINATED

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

small nursing homes partial conversion

SMALL NURSING HOMES PARTIAL CONVERSION

WEIGH GAIN FROM CONVERSION OF SOME NURSING HOME BEDS

WITH

AFFECT ON FUTURE

PRO SHARE FUNDING

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

pro share related questions for small nh
PRO SHARE RELATED QUESTIONS FOR SMALL NH

IS PRO SHARE GOING TO CINTINUE?

NO - CONVERT ALL BEDS

YES – ADDITIONAL INFORMATION

NEEDED

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

pro share will continue additional questions for small nh
PRO SHARE WILL CONTINUE ADDITIONAL QUESTIONS FOR SMALL NH
  • HOW MUCH WILL PRO SHARE BE?
  • HOW WILL MY SHARE OF PRO SHARE BE DETERMINED
      • EQUAL DISTRIBUTION TO ALL
      • DISTRIBUTION BASED ON MEDICAID NH DAYS
      • DISTRIBUTION BASED ON MEDICAID LOSS
      • OTHER METHOD

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

pro share will continue distribution equal

PRO SHARE WILL CONTINUE DISTRIBUTION EQUAL

SMALL NH SHOULD HAVE AT LEAST ONE BED

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

pro share will continue distribution based on medicaid days

PRO SHARE WILL CONTINUE DISTRIBUTION BASED ON MEDICAID DAYS

KEEP NH BEDS NEEDED

TO ACCOMPDATE

MEDICAID NH PATIENTS

CONVERT THE REST TO SWING

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

pro share will continue distribution based on medicaid loss

PRO SHARE WILL CONTINUE DISTRIBUTION BASED ON MEDICAID LOSS

KEEP NH BEDS NEEDED

TO ACCOMPDATE

MEDICAID NH PATIENTS

CONVERT THE REST TO SWING

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

pro share will continue

PRO SHARE WILL CONTINUE

PUT PRIVATE PAY AND MEDICARE PATIENTS IN SWING BEDS

KEEP MEDICAID PATIENTS IN NURSING HOME

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

when pro share changes

WHEN PRO SHARE CHANGES

REEVALUATE

OPTIONS

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

capital projects
CAPITAL PROJECTS

WHAT HAPPENS WHEN YOU CONVERT NH BEDS TO SWING BEDS?

BEFORE CONVERSION MEDICARE AND MEDICAID PAY FOR THEIR SHARE OF HOSPITAL CAPITAL COST

BEFORE CONVERSION VERY LITTLE HELP RECEIVED FROM NH SIDE

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

capital projects1

CAPITAL PROJECTS

WHAT HAPPENS WHEN YOU CONVERT NH BEDS TO SWING BEDS?

AFTER CONVERSION MEDICARE AND MEDICAID PAY FOR THEIR SHARE OF HOSPITAL CAPITAL COST WHICH INCLUDE SWING BED COSTS

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

capital projects2

CAPITAL PROJECTS

BEFORE CONVERSION

MEDICARE AND MEDICAID PAY FOR 35% OF CAPTIAL PROJECT

AFTER CONVERSION

MEDICARE AND MEDICAID PAY FOR 55% OF CAPTIAL PROJECT

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

recommendations
RECOMMENDATIONS
  • DAYTON NO DATA PROVIDED
  • PORT ANGELES NON-CAH
  • SOAP LAKE NON-CAH
  • NEWPORT PARTIAL CONVERSION – NO AFFECT ON PRO SHARE
  • EPHRATA ALREADY AT MAX
  • PROSSER LIMITED CONVERSION – MAXIMIZE PROSHARE
  • FORKS NO DATA PROVIDED (CONVERSION IN PROCESS)
  • ODESSA NO DATA PROVIDED
  • POMEROY PARTIAL CONVERSION – NO AFFECT ON PRO SHARE
  • TONASKET PARTIAL CONVERSION – NO AFFECT ON PRO SHARE
  • REPUBLIC LIMITED CONVERSION – MAXIMIZE PROSHARE
  • QUINCY LIMITED CONVERSION – MAXIMIZE PROSHARE
  • DAVENPORT NO DATA PROVIDED
  • GRAND COULEE LIMITED CONVERSION – MAXIMIZE PROSHARE
  • RENTON NON-CAH
  • MORTON LIMITED CONVERSION – MAXIMIZE PROSHARE

MICHAEL R. BELL & COMPANY 12 EAST ROWAN, SUITE 2 SPOKANE, WASHINGTON 99207 (509) 489-4524

any questions
ANY QUESTIONS?

MICHAEL R. BELL & COMPANY

CERTIFIED PUBLIC ACCOUNTANTS & CONSULTANTS

12 E. ROWAN STE. 2

SPOKANE, WA 99207

(509)489-4524

EMAIL:bellcpa@AOL.COM