By default, SSI ratios are based on the Federal Fiscal year end (10/01 – 09/30) and are generally published annually by the Centers for Medicare and Medicaid Services (CMS). Current CMS regulations allow for a hospital to request to have its Medicare fraction or SSI ratio recalculated based on the hospital’s cost reporting period where different from the Federal fiscal year. Hospitals should review annually whether they may benefit from an SSI realignment.

***CAUTION: If not analyzed properly, a recalculation could actually harm the hospital by decreasing reimbursement.***

SCA has been performing SSI recalculation reviews since 1989 and has submitted over 783 recalculation requests to CMS on behalf of our clients. SCA’s primary goal is to ensure the provider’s SSI fraction in the Medicare DSH calculation is in compliance with all applicable laws and regulations.

Read more about SCA’s expertise in SSI recalculations and request a proposal HERE