The Medicare Disproportionate Share Hospital program reimburses providers that serve a high percentage of low income patients. SCA is the industry leader in recoupment of Medicare Disproportionate Share Hospital (DSH) reimbursement. Our proprietary process optimizes DSH reimbursement by performing a detailed review of every patient stay. We leverage our direct connections with State Medicaid Agencies to identify and document all Medicaid eligible days. SCA’s primary goal is to ensure the provider’s DSH calculation is in compliance with all applicable laws and regulations.

SCA has been performing DSH reviews since 1989 and annually produces over 750 DSH reports for its clients. Our DSH services currently include support for use in filing the cost report, full documentation for a revised report, as well as retroactive eligibility rematch services. All DSH reports are supported by SCA through audit, reopening and/or appeal. In addition, SCA performs extensive compliance reviews related to the DSH amount claimed by its client hospitals.

Contact us today to take advantage of SCA’s expertise in DSH reimbursement and compliance.