Government Navigation Suite

Disproportionate Share Hospital

Optimize Disproportionate Share Hospital (DSH) payments while ensuring accuracy and compliance that stands up to Medicare Administrative Contractor (MAC) scrutiny with Cloudmed’s award-winning Revenue Intelligence™ solution for Disproportionate Share Hospital (DSH) payments.

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Optimize Disproportionate Share Hospital (DSH) reimbursement

Optimize Medicaid eligible days with a full-service solution that utilizes highly skilled auditors and the powerful CloudmedAI Platform to accurately capture more Disproportionate Share Hospital (DSH) reimbursement.

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Disproportionate Share Hospital Overview

Optimize Disproportionate Share Hospital (DSH) reimbursement and compliance with our experienced team, including former Medicare Administrative Contractor (MAC) auditors. Proprietary rules and algorithms quickly process large volumes of data while ensuring compliance with changing regulatory and Medicare Administrative Contractor (MAC) requirements.

Cloudmed Disproportionate Share Hospital is used by finance and reimbursement leaders to optimize government program revenue.

Capture more reimbursement

Recover all the revenue you are entitled to with the powerful CloudmedAI Platform that ensures clean and accurate file submission directly to individual State Medicaid eligibility databases.

Uncover more opportunities

Uncover more Disproportionate Share Hospital-eligible days than competitive solutions and never miss a reimbursement opportunity. Compliance is assured with dedicated and highly skilled auditors.

Realize unmatched audit success

Depend on Cloudmed’s solid relationships and experience with Medicare Administrative Contractors (MACs) and Centers for Medicare and Medicaid Services (CMS) for a nearly 100% MAC audit pass rate.

The Cloudmed Difference

Disproportionate Share Hospital Results

~100%

MAC audit pass rate

2-4%

More DSH-eligible days uncovered

100%

Of inpatient claims processed

*Representative customer results

Optimize results with an accomplished partner

Leverage our expertise and knowledge of this unique environment for the best results and long-term success. Here’s a look at how we work together:

Startup

You provide patient demographic and claim level data from your patient financial services (PFS) system. No remote access to systems is necessary.

Review

We perform a retrospective and/or prospective review by running the data through our proprietary rules and algorithms and completing a detailed manual analysis. We compile a clean and accurately formatted file to submit directly to individual State Medicaid eligibility databases.

Recovery

We provide a detailed patient listing with allowable Medicaid eligible days to help you recover all the revenue you are entitled to. We ensure clean and accurate file submission directly to individual State Medicaid eligibility databases and work directly with the Medicare Administrative Contractor (MAC) on any follow-up issues or questions.

Continuous Improvement

Highly skilled auditors provide comprehensive support until the Medicare Cost Report (MCR) is finalized and a Notice of Program Reimbursement (NPR) is issued. We share our deep expertise with best practice policies and procedures for ongoing improvement.  

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Find out how Cloudmed Disproportionate Share Hospital Revenue Intelligence solution can help you recover more with compliance confidence.