Understanding Charity Care and Disporportionate Share Medicare Reimbursement

23 Apr 2018 8:56 AM | Robert Mahoney (Administrator)

Speakers: Scott Mertie, FHFMA, CMPA and Katie Reid, CPA, CHFP

Slide Deck: Download Slides (PDF)

Summary:  We will review the changes that CMS has made for Medicare DSH and Charity Care and how these calculations are made and how they affect hospital reimbursement on the Medicare cost report.

Speaker Biographies:

Scott Mertie, FHFMA, CMPA

Bio:  Scott Mertie leads Kraft Healthcare Consulting, LLC -- an affiliate of KraftCPAs PLLC.With more than 20 years of reimbursement, operational and financial experience in thehealthcare industry, Scott consults on various areas involving reimbursement, includingMedicare and Medicaid cost reports, for healthcare clients throughout the United States.Scott performs other operational reviews and consults on other areas involving the revenuecycle. He also provides expert reports and testimony for healthcare related litigation. Hisclients include attorneys; medical/ surgical, psychiatric, rehabilitation and long- term acutecare hospitals; skilled nursing facilities; home health agencies; and rural health clinics.His previous experience includes 10 years as a senior healthcare consultant for a regionalCPA firm, developing and managing a freestanding ambulatory surgery center for a Nashville area hospital and accounting manager for a Nashville based hospital management company.

Katie Reid, CPA, CHFP

Bio:  Katie is the director of the advisory services practice at Kraft Healthcare Consulting, LLC, an affiliate of KraftCPAs PLLC, where she focuses on reimbursement and operations. Her job responsibilities consist of reviewing and preparing Medicare and Medicaid cost reports and working with clients on other reimbursement opportunities, such as Disproportionate Share (DSH) and provider-based options. Additionally, Katie performs healthcare operational assessments and operational projects such as reviews of hospital chargemasters and physician fee schedules. Katie also assists the audit team at KraftCPAs with healthcare-specific financial audits. Prior to joining the KHC team, she interned in the tax department at KraftCPAs.


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