Federal and state surveys are a compliance review that assesses whether a healthcare provider follows all applicable laws and regulations.
Annual Hospital Financial Surveys
Surveys provide essential information to federal, state, and other regulatory agencies related to the healthcare industry. Unfortunately, facilities can lose or fail to receive appropriate funding due to inaccurate surveys. Draffin Tucker assists in completing, reviewing, and providing consultation related to hospital surveys. We will help ensure accuracy and completeness, which is vital for your hospital to receive appropriate funding. In addition, state and federal agencies use such surveys to determine eligibility and funding for many programs.
Charity Care Documentation
There are many charity programs with specific documentation and reporting requirements. These include federal Hill-Burton programs, Federal Upper Payment Limited Medicaid programs, and Medicare and Medicaid Disproportionate Share programs. Draffin Tucker can assist in program development, reporting to appropriate agencies, and development of documentation procedures and will serve as the liaison between the health facility and the agency.
Medicaid DSH Surveys
As a part of the federal Medicaid Disproportionate Share Hospital (DSH) Program, the Centers for Medicare and Medicaid Services (CMS) requires each state to calculate a Hospital Specific DSH Limit amount for each eligible hospital. The federal Medicaid program defines the data elements used to calculate the DSH Limit and allows each state to gather the necessary information. Most states use a Medicaid DSH Survey to allow providers to complete their required data elements. The DSH limit uses Medicare cost reporting principles but also requires much patient service legal detail to calculate the cost and payments of individual services provided in each state fiscal year. Therefore, understanding the federal and state requirements related to this program is a must to correctly calculate a hospital's DSH Limit that will be used to limit the number of ultimate payments to each hospital.