a If an inpatient admission or series outpatient encounter crosses two hospital fiscal years, in which fiscal year should the charges be recorded?
The General Instructions for Section I of the Medicaid Cost Report (OAC 5101:3-2-23 , Appendix A) state: “The data on uncompensated care for people on Disability Assistance… and the data on uncompensated care for patients with family incomes below federal poverty guidelines… may only include inpatient and outpatient accounts with discharge/visit dates that fall within your hospital’s fiscal year. You must split-bill any outpatient accounts which cross these dates. Uncompensated care for patients with family incomes above federal poverty income guidelines may be included… regardless of the service dates, so long as the date of the bad debt or charity care write-off fell within your hospital’s fiscal year. ” As such, charges for inpatient DAM admissions and for patients with family incomes below the federal poverty income guidelines should be recorded in the fiscal year in which the discharge date occurred. Charges for outpatient DAM patients or for patients with family incomes bel
The General Instructions for Section I of the Medicaid Cost Report (OAC 5101:3-2-23 , Appendix A) state: ” the data on uncompensated care for patients with family incomes below federal poverty guidelines… may only include inpatient and outpatient accounts with discharge/visit dates that fall within your hospital’s fiscal year. You must split-bill any outpatient accounts which cross these dates. Uncompensated care for patients with family incomes above federal poverty income guidelines may be included… regardless of the service dates, so long as the date of the bad debt or charity care write-off fell within your hospital’s fiscal year”. As such, inpatient charges should be recorded in the fiscal year in which the discharge date or service date occurred. This will require split-billing any series outpatient claim that crosses fiscal years. As noted in FAQ 8.2, charges for patients with family incomes above the federal poverty income guidelines should be recorded in the fiscal period
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- a If an inpatient admission or series outpatient encounter crosses two hospital fiscal years, in which fiscal year should the charges be recorded?
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