Services

Medicare Disproportionate Share Hospital Reimbursement (DSH)

DSH is one of the last areas of the Cost Report that continues to provide significant Medicare reimbursement opportunities for your facility. Fortunately, HPS has the experience and technology to help you maximize your reimbursable DSH dollars.

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Proprietary Software

HPS uses proprietary DSH technology that is able to analyze and verify patient eligibility line by line to generate the maximum number of eligible days for use in your facility’s Cost Report. HPS’ proprietary software even contains a powerful algorithm that methodically and accurately links the ever troubling "newborn" and "parent" data together. The result to you is increased eligibility claims with maximized reimbursement. You can be assured that as the financial steward of your organization, you will not be leaving any reimbursable dollars on the table.

What about documentation and support for the DSH eligibility claims?

It is no secret that providers are often denied potential DSH payments because the required documentation is incomplete, missing from the submission or altogether non-compliant. You can be confident that HPS will take care of your documentation issues as well. Items such as Eligibility codes, share of costs, Aid Codes, EVC numbers, etc…, are recorded and stored with each patient record. Subsequently, and in most cases, we are able to generate the documentation and work papers that can verify, categorize, support, and even calculate slight nuances of every data element contained in your submission that we provide to CMS. On top of this supporting documentation, HPS is even able to produce a standard set of reports that are FI tried and proven.