tci Medicare Compliance & Reimbursement - 2003 Issue 21

Hospitals: RURAL HOSPITAL TRUMPS FEDS ON DSH

Rural facilities may be more likely to qualify for disproportionate share hospital payments than they think. Witness the case of District Memorial Hospital of Southwestern North Carolina in Andrews, NC, which on May 12 scored a legal victory against the Department of Health and Human Services over how swing bed days factor into DSH calculations. At issue in the case was whether days during which swing beds were utilized may be included in the calculation of patient days for DSH purposes. The hospital said yes, based on regulatory language under which patient days should be tallied in "areas of...

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