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Abstract
This paper discusses the change to the Inpatient Prospective Payment System Medicare (IPPS) Disproportionate Share (DSH) programme, the introduction of Worksheet S-10 to distribute payments and the history of S-10 audits that are a result of the new methodology. The paper provides insights to help hospitals and hospital system providers understand what they can expect in S-10 audits and tips to help them prepare their organisation.
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Author's Biography
Michael Newell is a Partner in the Health Care Consulting Practice at Moss Adams, located in Plano, Texas, USA, and has over 30 years of healthcare financial management experience. He has worked with hundreds of hospitals for thousands of fiscal years to prepare and review Medicare DSH and Worksheet S-10 for cost report filings. Additionally, he oversees the associated audits and management of appeals for a variety of Medicare DSH-related issues. Prior to joining Moss Adams, Mr Newell was the President of Southwest Consulting Associates and prior to that was the Vice President of Reimbursement Services for Triad Hospitals (Fortune 500 Company) that operated 54 hospitals and 13 ambulatory surgery centres across the country. Mr Newell also served as Vice President of Reimbursement for Charter Behavioral Health System that owned and operated approximately 90 behavioural health hospitals. Michael regularly participates in webinars on Medicare DSH and S-10, has presented at various Healthcare Financial Management Association (HFMA) events on both topics and has presented at the HFMA Annual Conference on Worksheet S-10 and CMS Audits.
Jonathan Mason is a Director in the Health Care Consulting Practice at Moss Adams and is located in Plano, Texas, USA. He has worked in healthcare finance since 2004 with a concentration in government reimbursement. He currently focuses on Medicare DSH and Worksheet S-10 engagements for hospital clients ranging from small rural facilities to large corporate hospital systems. His experience includes preparing Medicare DSH and Worksheet S-10 data for initial and amended cost report filings, reviewing and drafting hospital financial assistance policies and overseeing Medicare DSH and Worksheet S-10 audits and appeals. Since 2017, Jonathan and his team have completed over 850 fiscal years of detailed Worksheet S-10 reviews for 256 hospitals in 32 states as well as participated in over 245 audits. He and his team have also completed thousands of Medicare DSH engagements for hospitals across the country. He regularly presents on the IPPS, Medicare DSH and Worksheet S-10 topics. Jonathan can be reached at jonathan.mason@mossadams.com.
Citation
Newell, Michael and Mason, Jonathan (2021, December 1). Worksheet S-10 is here to stay: Programme update and a look at MAC S-10 audits. In the Management in Healthcare: A Peer-Reviewed Journal, Volume 5, Issue 2. https://doi.org/10.69554/HLMK6624.Publications LLP