Affordable Care Act Section 3133 Medicare DSH. HFMA Education Session # 3 February 21, 2013. Sec. 3133. Improvement to medicare disproportionate share hospital (DSH) payments. Presented by: Paul Bouganim Principal Financial Analyst Cedars-Sinai Medical Center. Agenda.
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HFMA Education Session # 3
February 21, 2013
Sec. 3133. Improvement to medicare disproportionate share hospital (DSH) payments.
Principal Financial Analyst
Cedars-Sinai Medical Center
(-0.2% for FY2015 to FY2019)
IRS Form 990
Likely to be the default definition of Charity Care for DSH, maybe…
S-10 Also Used for EHR Incentive Payments!
(b) Medicare Share:
IP Part A Days + IP Part C Days
Total IP Days x [ (Total Charges - Charity Care Charges) ÷ Total Charges ]
Unpaid Cost of Medicaid
Overall Facility Cost-to-Charge Ratio, Wkst C, Part I
Gross Medi-Cal and Medi-Cal HMO Charges (Provider Records)
Traditional Charity Care
Non-Medicare Bad Debt
Ln 30 for DSH? Charity + Bad Debt Only