HFS News & Information

CMS issued Form 2552-10, Transmittal 11, on September 29, 2017. This transmittal clarifies the definitions and instructions for uncompensated care, non-Medicare bad debt, non-reimbursed Medicare bad debt, and charity care to include uninsured discounts, as well as modifies the calculation relative to uncompensated care costs.

Revisions include:
• Worksheet S-10:
• Revised the instructions for line 20 for subsection (d) Puerto Rico hospitals, charity care and uninsured discounts.
• Modified the calculation and clarified the instructions on line 21, column 2, for insured patients and non-covered charges for insured patients for days exceeding a length-of-stay limit.
• Clarified the instructions for line 22.
• Clarified that the amount reported on line 26 is net of recoveries.
• Added line 27.01 to capture Medicare allowable bad debt for the entire facility.
• Modified the instructions for line 28 to only capture the non-Medicare bad debt expense.
• Modified the calculation for line 29.

The full transmittal can be found at the CMS Website at:
https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017-Transmittals-Items/R11p240.html?DLPage=1&DLEntries=10&DLSort=1&DLSortDir=descending

In addition a Medlearn Matters article SE17031 to communicate the extension from September 30, 2017 until October 31, 2017 for ALL Inpatient Prospective Payment System (IPPS) hospitals to resubmit certain Worksheet S-10 data. This article is also intended to provide additional guidance to 1886(d) hospitals by summarizing revisions and clarifications to the instructions for the Worksheet S-10 of the Medicare cost report.

The full article can be found at: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE17031.pdf

If you have any questions please contact Eric Swanson at eric@hfssoft.com.

CMS has granted an extension from September 30, 2017 until October 31, 2017 for ALL Inpatient Prospective Payment System (IPPS) hospitals to resubmit certain Worksheet S-10 data. For revisions to be considered, amended FY 2014 and FY 2015 cost reports due to revised or initial submissions of Worksheet S-10 must be received by Medicare Administrative Contractors (MACs) on or before October 31, 2017.

HFS anticipates the CMS official publication of this extension and additional clarification regarding S-10 changes, no later than Friday September 29th and will notify clients when available.

If you have any questions please contact Eric Swanson at eric@hfssoft.com.