fbpx

< Back to Thought Leadership

Uncompensated Care S-10 Audits are Coming

CMS continues to refine the uncompensated care calculation.  Three factors are utilized to calculate uncompensated care reimbursement for IPPS hospitals.  Factor 3 is developed by compiling the cost of uncompensated care that is reported on the Medicare cost report Worksheet S-10.  Effective with federal fiscal year 2020, worksheet S-10 will fully utilize uncompensated care data taken from the Medicare cost report.  It is now critical that hospitals report complete and accurate uncompensated care information.

For cost reporting periods beginning on or after October 1, 2018, Medicare disproportionate share eligible hospitals must submit a patient-level listing of charity care and/or uninsured discounts as part of their cost report supporting documentation. CMS has not yet provided comprehensive instructions on what data elements will be required as part of this detail listing.

At the direction of the CMS, the MACs have recently been sending out Additional Documentation Requests regarding the information claimed by hospitals on the FY 2015 Worksheet S-10.  The requests have been very extensive and detailed.  In addition, the time frame for responding to the requests has been short.

To prepare for these changes, hospitals should review financial assistance policies to ensure compliance. In addition, hospitals must determine that all applicable uncompensated care amounts are being captured and properly reported on Worksheet S-10.

If you require any assistance or have any questions, we are available to discuss these changes with you. Please see the appropriate state contacts listed below:

Indiana: Lisa Deaton | 317-713-7921 | ldeaton@blueandco.com

Kentucky: Nick Ficklin | 502-992-3490 | nficklin@blueandco.com

Ohio: Judith Maloney | 614-222-1377 | jmaloney@blueandco.com

Blue Named One of Kentucky’s Best Places to Work for 2024 | Best Places to Work in Kentucky

Blue Named One of Kentucky’s Best Places to Work for 2024

CARMEL, Ind. (April 16, 2024) – Blue & Co., LLC is honored to be named among the Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, the […]

Learn More
Planned Gifts

Planned Gifts: A Plan for All

By Mike Gricius, CPA, Senior Manager at Blue & Co. Planned gifts are a tool that can help not-for-profits plan ahead and secure the future for the years to come. […]

Learn More

Participate in the 2024 Dental Survey: Help Blue and the IDA Offer Better Solutions for the Dental Industry

Since 1995, Blue & Co. has partnered with private practice dentistry to give something back to the profession that our dental clients desperately needed: good data. And we aim to […]

Learn More