SSI Realignment

The Centers for Medicare & Medicaid Services (CMS) recently instructed Medicare Administrative Contractors (MACs) to allow hospitals to request a Supplemental Security Income (SSI) percentage realignment for any cost report period, at any time, regardless of whether the cost report is beyond its 3-year cost report reopening window. Prior to this announcement, CMS only authorized SSI realignments if the request was made no later than 3 years from the hospital’s Notice of Program Reimbursement (NPR).

This opportunity allows disproportionate share hospitals (DSH) to evaluate and request an SSI realignment going back to the inception of the DSH regulations.

• CMS has granted Government Data Services (GDS) access to the patient-level SSI data to determine which periods would benefit from a realignment with certainty.
• No other data is required from the hospital to perform the analysis.
• If we identify an opportunity for any Cost Report year prior to 1996, we will request Medicare Cost Report worksheet E, Part A from you for such year(s) in order to estimate the financial impact.

Please contact us at (800) 370-7397 x101 to get your free, no obligation demo or to simply learn more about how we can save you money while maximizing your DSH recoveries.