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PubMed · 12656035

DSH adjustment controversies continue.

Christopher L Keough
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Abstract

Some Medicare intermediaries are reducing the disproportionate share hospital (DSH) payment by excluding labor/delivery room days and dual-eligible days from the DSH calculation. Some intermediaries are excluding maternity patients who are in a labor/delivery room at the census-taking hour unless the patient previously occupied a routine bed. Intermediaries also are excluding Medicaid-eligible days attributable to patients who are not entitled to payment under Medicare Part A. These adjustments are of questionable legal validity and hospitals should protect their rights to appeal these issues.

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Centers for Medicare and Medicaid Services, U.S.Delivery RoomsFemaleFinancial Management, HospitalHealth Services AccessibilityHumansMedicaidMedicare Part AOrganizational PolicyPregnancyReimbursement, Disproportionate ShareUncompensated CareUnited StatesJournal Article

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BibTeXRIS

Christopher L Keough. 2002. DSH adjustment controversies continue.. https://pubmed.ncbi.nlm.nih.gov/12656035/

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