“Thank you, guys; you did such a good job. This is really awesome. Thank you very much. It’s great. And I learned a lot.”

BESLER’s Disproportionate Share (DSH) service optimizes a hospital’s Medicaid eligible days by capturing and validating every patient day eligible to be included in the Medicaid fraction of the Disproportionate Share calculation with the purpose of providing a clean and accurate log that identifies every possible account.
Not all DSH preparation services are equal. BESLER’s system makes getting your hospital its pro rata share of Medicare DSH funding easier
Contact BESLER and let our Reimbursement experts ensure that you are accurately calculating DSH and capturing every dollar of this shrinking pool.
Related Services
We provide consulting services in other related areas, including:
BESLER’s uncompensated care healthcare reimbursement services capture and validate all eligible patient days for DSH, charity care charges for S-10 and bad debts that should be included on the Medicare Cost Report.
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Effective 10/1/2023, the FY2024 IPPS Final Rule has reduced the UCC pool by $950M. The proposal only estimated a $115M decrease. The net percentage decrease is expected to be in the double figures for almost all categories and regions (see the table on page 2060 of the rule).
CMS finalized a proposal to clarify that the Medicaid fraction numerator in a hospital’s DPP includes patients covered by a Section 1115 waiver that provides either insurance covering inpatient care or fully subsidized premium assistance used to purchase such insurance. But for hospitals in a state with a Section 1115 demonstration that does not cover 100% of premium costs, patients in any such demonstration cannot be included in the numerator. That’s likely to affect the DPP of hospitals in a large majority of states. States in which Section 1115 subsidies do cover 100% of the premium cost to patients — meaning covered patients can be included in the numerator — include Arkansas, Connecticut, Massachusetts, Oklahoma, Rhode Island, Tennessee, Utah and Vermont. In addition, patients whose care is subsidized by uncompensated/undercompensated care pools established by a Section 1115 demonstration cannot be included in a hospital’s Medicaid fraction numerator. States affected are Florida, Kansas, Massachusetts, New Mexico, Tennessee and Texas.
“Thank you, guys; you did such a good job. This is really awesome. Thank you very much. It’s great. And I learned a lot.”
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