(Austin – May 29, 2018) Texas-based Southwest Consulting Associates has been endorsed by the Texas Hospital Association to help Texas hospitals thoroughly and completely calculate and document uncompensated care costs to qualify for Medicaid supplemental payments.
The Centers for Medicare & Medicaid Services is relying on the “Worksheet S-10” to determine hospital supplemental payments. Use of the S-10 for this purpose is new and requires hospitals to take a renewed look at how uncompensated care costs are calculated and documented.
For Texas hospitals that qualify for UC payments through the Medicaid 1115 Transformation Waiver, completing the Worksheet S-10 accurately and thoroughly is particularly important as CMS will use it both to establish the overall size of the UC funding pool and to distribute individual hospitals’ UC payments beginning in October 2019.
“The new Medicaid 1115 Transformation Waiver includes several policy and programmatic changes,“ said Ted Shaw, THA president/CEO. "THA recognizes that many member hospitals need trusted third-party help to navigate these changes. With this endorsement, THA has selected a financial consulting firm with local roots to ease this transition.”
SCA’s fully developed, detailed Worksheet S-10 solution supports hospitals in managing not only the large datasets, but results in auditable patient-level detailed reports for use in reporting data on S-10 in accordance with rules promulgated by the Texas Health and Human Services Commission for UC reporting and distribution purposes. The solution distinguishes itself through the hands-on portion versus a turnkey software solution. SCA strives to identify areas where hospitals do not have systems in place to identify transactions that may qualify for reporting if the data was properly identified and accounted for. Experience has shown that a large percentage of answers can be reached through data processing, however, SCA believes the real value comes from identifying and researching all of the exceptions hospitals may have.
“We are honored to be selected as an endorsed partner of the Texas Hospital Association,” said Michael Newell, President of Southwest Consulting Associates. “We appreciate the opportunity and are looking forward to assisting Texas hospitals navigate the Worksheet S-10 transition required by the new Medicaid 1115 Waiver.”