Current Centers for Medicare & Medicaid Services (CMS) regulations allow hospitals to request recalculations of Supplemental Security Income (SSI) ratios where your cost reporting period differs from the federal fiscal year.
These SSI recalculations can provide additional opportunities to help increase your Medicare Disproportionate Share (DSH) reimbursement. Properly analyzing your SSI data, however, can be a complex process.
Opportunities and Risk
Processing recalculations could provide opportunities to:
- Pursue fiscal years that can help increase your Medicare DSH reimbursement
- Pass on fiscal years with negative reimbursement impacts
A recalculation, however, could decrease your Medicare DSH reimbursement if the appropriate patient-level SSI data isn’t fully obtained and analyzed properly.
Navigate Your Options
Your organization should plan to annually research whether an SSI recalculation could benefit your facilities, especially if your data hasn’t been historically or consistently reviewed.
Analyze your data with guidance from our professionals, who can help determine if recalculating your SSI ratio is the right decision for your organization.