Introduction
GDS is best known for robust, accurate eligibility reports that are used by hospitals and consultants to support claims for Medicare disproportionate share hospital claims across the country. Hospitals and consultants choose GDS for our exceptional data analysis, deliverables, and customer service. Whether you choose to work with one of our world-class consulting clients for full-DSH services through the appellate process or choose to have GDS work directly with your internal staff to prepare the analysis and support for your cost report, GDS is prepared to deliver results to you. Our deliverables include all necessary supporting documentation to claim DSH reimbursement on your as-filed, amended, and re-opened Medicare cost reports.
The GDS Solution:
- Accurately identifies Title XIX DSH eligible Medicaid days, both in-state and out-of-state.
- Accurately identifies Title XXI (Medicare and Medicare Advantage for exclusion from the Medicaid fraction as called for by CMS.
- Identifies and quantifies days for purposes of claiming protested items and preserving your right to appeal. Thoroughly and accurately match babies to eligible moms.
- Includes a Labor and Delivery allocation as appropriate.
- Reviews days for appropriate exclusion from the denominator of the Medicaid fraction and/or Medicare fraction.
- Maximizes results through comprehensive analysis including multiple passes for same cost report year to capture retro-eligible days.
