The Medicare Disproportionate Share Hospital (DSH) program reimburses providers that serve a high percentage of low-income patients, but correctly identifying DSH reimbursements can be challenging. Our professionals help hospitals strengthen their DSH reimbursements through a proprietary process that includes detailed and methodical reviews of every patient stay.
By leveraging our direct connections with state Medicaid agencies to identify and document all Medicaid eligible days, we provide an unparalleled review of your patient stays while helping make sure the DSH calculation is in compliance with all applicable laws and regulations.
Our professionals have more than 30 years of experience producing more than 550 DSH reports annually, and all reports are supported through audits, reopenings, or appeals.
Through a DSH reimbursement analysis, you’ll receive:
- A completed DSH calculation including protest amounts
- Detailed patient-level support for eligible and protested days
- Protest language
- Retroactive Medicaid eligibility matching services
- Full documentation for a revised report
Since 2004, our Medicare DSH audit acceptance rate for provider clients nationwide has reached 99.96%, including more than 32 million Medicaid days audited by Medicare Administrative Contractors.