ED Coding & Reimbursement Alert - 2003 Issue 23
Reimbursement : DSH PITFALLS EMERGE IN OIG SCRUTINY
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Article Overview
This reimbursement-focused article summarizes recent HHS Office of Inspector General reviews of disproportionate share hospital payment calculations. It highlights the types of accounting and reporting issues that were identified, making it relevant for hospital reimbursement staff, compliance teams, and revenue cycle professionals who track audit findings and payment methodology risks.
Why This Topic Matters
Hospitals and compliance teams need to understand recurring audit themes that can affect disproportionate share hospital payment calculations, cost reporting, and reimbursement integrity.
What You Will Learn
- What recent OIG reviews examined in connection with disproportionate share hospital payment calculations
- Which broad categories of accounting and reporting issues were identified in the audits
- Why audit scrutiny of hospital reimbursement calculations matters for compliance and cost reporting teams
- How state-level and facility-level accounting processes can affect reimbursement review risk
Who Should Read This
- Hospital reimbursement staff
- Compliance officers
- Revenue cycle professionals
- Healthcare accountants
- Audit and cost report teams
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