FY 2014 IPPS Final Rule: Implementation of Section 3133 of the Affordable Care Act- Medicare DSH- Supplemental Data									
"Updated April 29, 2014 "									
Variable	Description								
PROV	Medicare Provider Number or CMS Certification Number (CCN)								
Name	"Name of Medicare provider from OSCAR (""blank"" = unknown)"								
Medicaid Days	"The Hospital's Medicaid inpatient days reported on the most recently available Medicare Hospital Cost Report, 2010 or 2011 based on the March 2013 update of the Medicare Hospital Cost Report data. Medicaid days are those that are reported for the purpose of calculating the numerator of the Medicaid fraction for Medicare DSH.  As finalized in the FY 2014 Final Rule, if the 2552-10 cost report was used, Medicaid days for DSH hospitals and SCHs were reported on Worksheet S-2. Medicaid days for non-DSH hospitals were reported on Worksheet S-3 of the 2552-10 cost report.  If 2552-96 cost report was used, Medicaid days for DSH and non DSH hospitals were reported on Worksheet S-3."								
Medicare SSI Days	"Medicare SSI  days based on the most recently available SSI ratios, FY 2011 SSI ratios.  Medicare SSI days are based on the Federal fiscal year, based on the December 2012 update of the FY 2011 MedPAR.   Medicare SSI days are equivalent to the Medicare SSI days used in the calculation of the SSI ratio for Medicare DSH. The FY 2011 SSI ratios can be found here: http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Downloads/DSH-Adjustment-and-2010-2011-File-.zip"								
Insured Low Income Days	"Sum of a hospital's Medicaid Days and Medicare SSI Days. Serves as the numerator of a hospital's Factor 3 , which is the proportion of the uncompensated care amount that a DSH hospital will receive under the implementation of Section 3133 of the Affordable Care Act. "								
Factor 3	"Factor 3 , the uncompensated care payment factor representing the  proportion of the uncompensated care amount that a DSH hospital will receive under the  implementation of Section 3133 of the Affordable Care Act. The Factor 3 is the hospital's  Medicaid days and Medicare SSI days relative to all DSH hospitals' Medicaid days and Medicare SSI days. DSH hospitals are identified as those hospitals that are projected to receive DSH for FY 2014. If a hospital listed as ineligible for DSH and the uncompensated care payment receives DSH at cost report settlement for 2014, then the hospital will receive the uncompensated care payment based on the Factor 3 listed here. "								
Total Uncompensated Care Payment	"The total uncompensated care payment amount made for hospitals projected to receive DSH finalized for FY 2014. The uncompensated care payment will be paid on an interim per discharge basis and reconciled to the amount listed in this column at cost report settlement. ""N/A"" is listed for hospitals that are not projected to receive DSH, thus ineligible for the uncompensated care payment for FY 2014.  If a hospital listed as ineligible for DSH and the uncompensated care payment receives DSH at cost report settlement for 2014, then the hospital will receive the uncompensated care payment based on the Factor 3 listed here. "								
Estimated Per Claim Amount	"Estimated per claim uncompensated care payment amount that will be paid on each claim for FY 2014. The total uncompensated care payment amount finalized in the FY 2014 IPPS Final Rule will be reconciled at cost report settlement with the interim estimated uncompensated care payments that are paid on a per discharge basis. Estimated per claim amount is determined by dividing the total uncompensated care payment by the average number of claims from the most recent three years of claims data (FY10-12). ""N/A"" is listed for hospitals that are not projected to receive DSH, thus ineligible for the uncompensated care payment for FY 2014."								
Average number of claims	The average number of claims from the most recent three years of claims data (FY10-12)								
Projected to Receive DSH for FY 2014	"Y' indicates that hospital is projected to receive DSH for FY 2014, thus eligible to receive the additional payment for uncompensated care.  'N' indicates that hospital is not  projected to receive DSH for FY 2014, thus ineligible to receive the uncompensated care payment. 'SCH' indicates that the hospital is a Sole Community Hospital that is both projected to be eligible for DSH (with a DPP greater than 15%) but projected to be paid under its hospital specific rate, not the Federal rate, thus projected to not be paid DSH and ineligible to receive the uncompensated care payment. However, for  hospitals identified as 'SCH', these hospitals are paid the higher of the Federal rate or hospital specific rate on an interim claim-by-claim basis and an estimated per discharge uncompensated care payment amount is listed for this calculation. The amount of the uncompensated care payment is based on their Factor 3 applied to the amount of money available.  Hospitals currently listed as ineligible for DSH will receive an uncompensated care payment if they receive DSH in FY 2014, as determined at cost report settlement.  If a hospital projected to not receive DSH receives DSH at cost report settlement, the hospital will receive the amount based on the  application of the Factor 3 to the amount of money available. "								
									
