AHA Asks CMS to Clarify Uncompensated Care Worksheet

The American Hospital Association recently sent a letter (pdf) to CMS Acting Administrator Marilyn Tavenner, urging several clarifications on a worksheet hospitals use to report uncompensated care.

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Form CMS-2552-10 Worksheet S-10 will be the new tool used to determine several different payments to hospitals, including meaningful use payments and disproportionate share hospital payments.

The AHA listed several recommendations and asked for a few clarifications, including the following:

•    The definition of uncompensated care should be broad.

•    The formula that calculates cost-to-charge ratios should be modified to include graduate medical education costs.

•    Lines 17 and 18 on the worksheet, which cover grants and investment income related to uncompensated care and other general operations, should either be clarified or deleted.

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