Disproportionate Share (DSH) Solutions
Disproportionate Share (DSH) Solutions helps hospitals optimize cash flow and improve compliance. Our work ensures hospitals receive the appropriate amount of funding through the state DSH pool. This can mean millions of additional dollars in annual cash flow, as well as the prevention of penalties.
Human Arc offers three types of DSH solutions to help you achieve optimal DSH funding:
- Retrospective Qualification
- DSH Process Consulting
- Cost Report Review
Our experts process self-pay or bad debt claims (with relevant service dates) that have not yet been processed for DSH eligibility or have not been processed correctly. We fully document all claims into categories established by requirements to establish DSH funding eligibility. These efforts integrate with your internal and external collection processing and the requirements of the state’s Medicaid Cost Report.
DSH Process Consulting
Regulations governing the operation of and reporting for DSH programs are complex and often changing. It can be challenging to ensure your internal processes accurately reflect these requirements and that your internal stakeholders are well informed, work together, and consistently observe these rules. And, since most hospital processes for DSH qualification are manual, many hospitals face compliance risks in the internal administration of these programs. Human Arc can provide valuable help in this area through process consulting. Our experts assess your DSH funding policies and procedures to help you ensure strict compliance with relevant government regulations and accurate DSH funding.
Cost Report Review
Medicare and Medicaid Cost Reports are the result of a long, aggregate process across departments and facilities—making it easy for data to be inconsistent, inaccurate, missing or duplicated. Inaccurate reporting results in inaccurate reimbursement and potential penalties. To ensure optimal cash flow, it is imperative to mitigate compliance risks, and given that the Medicare report is the source document for the Medicaid report, it is critical both pieces are analyzed together.
Human Arc conducts a thorough analysis of key data elements within your Medicare and Medicaid Cost Reports, focusing on open cost reports in areas that most significantly influence future DSH distributions. We identify potential reimbursement implications and opportunities for improvements, and then submit these to you for consideration.
The Human Arc Edge
Human Arc has an unmatched track record with DSH funding assistance to healthcare providers, plus nearly three decades of experience helping the uninsured and underinsured.
Government healthcare program eligibility is our core focus—and we are intensely focused on your success in this capacity.
We analyze many hospitals’ policies, procedures and practices, so we can quickly get to the “heart of the matter.”
Data Management and Analysis Skills.
We have unmatched expertise with various platforms, technologies and types of data, as well as analyzing trends and statistics to identify issues and opportunities.
Human Arc understands a successful DSH solutions program may require a variety of additional assets and capabilities: extensive experience analyzing and improving internal processes; expertise screening, qualifying and documenting patients for DSH programs; and flexible data management tools to assist or supplement client capabilities.
Security and Compliance.
Human Arc’s team of experts is 100% trained on HITECH/HIPAA, so you rest assured your patients’ information is kept confidential and remains fully protected.
Ohio’s Hospital Care Assurance Programview resource