WebHowever, it has not been commonly used in the Medicaid DSH calculations. Medicare SSI days are days where patients were entitled to benefits under Medicare Part A and to supplemental security income (SSI) benefits (excluding any State supplementary benefits paid with respect to such patients). WebA hospital’s Supplemental Security Income (SSI) percentage, is an important factor in calculating DSH reimbursements. The SSI ratio, also known as the Medicare fraction, represents the percentage of patient days for beneficiaries who are eligible for both Medicare Part A and SSI.
Understanding the Six Categories of 340B Covered Entities
WebFeb 3, 2024 · Critical Access Hospitals are not eligible for DSH so there would be nothing to audit for DSH. You may be thinking of 340B qualifications. How much of your payor mix has to be of Medicaid to be eligible for DSH? When combined with the SSI percentage, the two must be greater than 15%. Is there any way to know which patients are receiving SSI? Webpatient was also entitled to SSI at that time) and in the Medicare-SSI fraction denominator, regardless of whether the individual’s inpatient hospital stay was covered under Part A or … henensal ville
Ruling No.: CMS-1498-R2 - Centers for Medicare & …
WebSep 8, 2024 · One of the primary eligibility criteria for hospitals in the 340B program is a measurement of the hospital’s volume of inpatient Medicaid and Medicare SSI patients, … WebA hospital’s Supplemental Security Income (SSI) percentage, is an important factor in calculating DSH reimbursements. The SSI ratio, also known as the Medicare fraction, represents the percentage of patient days for beneficiaries who are eligible for both Medicare Part A and SSI. Web21 hours ago · The Medicare statute describes a mathematical formula for the DSH payments. The formula is based on the sum of two fractions—the Medicare fraction and the Medicaid fraction. The Medicare fraction is the percentage of a hospital’s patients entitled to Medicare Part A and Supplemental Security Income (SSI). heng ji illinois