One of the larger opportunities for additional revenue is the disproportionate share hospital (DSH) adjustment. Section 1886 of the Social Security Act provides for additional payments to hospitals that serve a disproportionate share of low income patients. The most commonly used method for a hospital to qualify for the DSH adjustment is based on a complex statutory formula involving Medicare patient days, instate Medicaid patient days (both paid and unpaid but eligible), out of state Medicaid patient days, and Supplemental Security Income eligibility.

Assisting hospitals to qualify for the additional DSH adjustment payment is a main focus of SRG expertise. Many hospitals experience difficulty in qualifying for the DSH payments due to a lack of all necessary patient day data, payor data, the complexity of the statutory formulas, and frequently changing regulations. SRG has successfully assisted many hospitals to materially increase their Medicare and Medicaid revenues by qualifying the hospitals for additional DSH funding. SRG is prepared to assist your hospital by applying our considerable experience, expertise, and specialized data bases applicable to DSH qualification.