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Disproportionate Share Hospital (DSH) Payment Validation Service

As an acute care facility, did you know you have up to three years to review closed cost report years?

Doing so provides the opportunity to determine if you are entitled to additional Disproportionate Share Hospital (DSH) payments. Even the most stringent processes can sometimes overlook uncompensated care affecting not only unbilled Medicaid-eligible inpatient days, but the Social Security Income (SSI) rate upon which your DSH payments are calculated for those years.

We can help

DSH was enacted as part of the Consolidated Omnibus Budget Reconciliation Act of 1985 as a means of offsetting the cost of uncompensated care for hospitals. It is based upon the calculation of a Disproportionate Patient Percentage (DPP) as a test of whether a hospital's uncompensated care warrants help from the federal government (Medicare).

Rehmann Healthcare Management Advisors has a process that reviews the SSI rate calculation as well as the Medicaid-eligible days. The opportunity exists to improve those two factors, thus increasing the hospital's DPP and the subsequent DSH payment percentage — resulting in increased payments.

No upfront cost

There is no up-front fee for this process. We base our fee upon a percentage of the income we find for the client. If we find nothing, the client pays nothing. It's that simple.

For more information, contact Ginny Martin at 419.865.8118 or