Once CMS obtains the necessary values from Line 30 of Worksheet S-10 of the cost reports, hospitals will not have an opportunity to modify the amount of Uncompensated Care claimed; hospitals need to be making their WS10 system upgrades now.
Sterling, Virginia (PRWEB) January 25, 2014
“A misperception that lingers among providers, arising from the CMS FFY 2014 Final Rule, is that since CMS deferred the use of Worksheet S-10 (WS10) for UCP distribution, they don’t need to be concerned with the WS10 for the next couple of years. This will be a costly oversight for Disproportionate Share (DSH) Hospitals. If one examines the methodology employed by CMS to distribute the FFY 2014 UCP payments, it is clear that they will establish the UCP amount by looking retrospectively at cost reports, probably three (3) years. Hence, for a FFY 2016 adoption of WS10, CMS will look at the most recent cost reports in the Government’s data base, which will be those for 2013. These are the cost reports that are being compiled and reported by hospitals today”, said Robert Gricius, CEO of NAVEOS®, a healthcare data analytics company.
Gricius expects that it will take 6-9 months for most hospitals to put systems in place to capture the Uncompensated Care data necessary to report, document, and support through audit the claim level detail/logic necessary to maximize these metrics. “Once CMS obtains the necessary values from Line 30 of Worksheet S-10 of the cost reports, hospitals will not have an opportunity to modify the amount of Uncompensated Care claimed; hospitals need to be making their WS10 system upgrades now,” Gricius advised.
U.S. hospitals provided a record-high $45.9 billion in unreimbursed care to indigent and underinsured patients in 2012, an 11.7 percent increase over 2011 according to an American Hospital Association (AHA) report released this month. The uncompensated care total includes charity care and bad debt but excludes Medicaid and Medicare underpayment.
Founded by industry veteran Robert Gricius, NAVEOS® is a healthcare data analytics company that focuses on maximizing past, present and future government reimbursement streams for hospitals and other healthcare organizations throughout the United States. By utilizing their proprietary data analytics Comprehensive Online Member Population Analysis Software System (COMPASS™) system, NAVEOS® has established itself as a market leader in identifying additional reimbursement for their clients over the past ten years.
For more information, please contact Lisa Martin, Vice President of Administration at 703-870-7860 or visit the NAVEOS® website at http://www.NaveosData.com.