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DSH Management Solutions - Whats New...

Great Falls, VA. ,March 1, 2007- DSH Management Solutions, LLC, one of the leaders in comprehensive disproportionate share revenue management solutions, announced today the deployment of its newest system module; Medicare 270/271 direct EDI eligibility 

“We are very pleased that we are able to offer this capability to our hospital clients” commented Robert Gricius, President of DMS. “This will enable us to provide a turnkey product, as it pertains to the Medicare eligibility status of the hospital’s patients, but provides a wealth of additional eligibility data including but not limited to:

  1. Member participation in a Medicare Advantage plan
    a. Which plan, the effective date, and the address of the plan headquarters
  2. The existence of a Medicare Secondary Payer
    a. Which payer it is, the effective date of payer participation and the type of payer
  3. Medicare deductible status
    a. Whether or not a Medicare member has or has not met their annual inpatient deductible; and
    b. If they have a balance remaining on the deductible for that year
  4. Lifetime reserve days status
    a. The current balance of the lifetime reserve days
  5. Medicare Part A eligibility start date, and, in rare occurrences, the end date
  6. Medicare Part B eligibility start date, and co-insurance
  7. Many additional data elements

“Medicare Part A status is a critical component of the calculation for both components of the Federal DSH reimbursement as well as the 340B eligibility. Real time access to this dataset, for our clients, when requested by our clients, in batch processing mode, provides an invaluable data store and integrates within the DMS full cycle management philosophy”

DMS focuses on providing a full range of services for public and private acute care and rehabilitation hospitals to assist them in maximizing their Federal and State Disproportionate Share (“DSH”) revenue stream. Their proprietary software program (MDSS©) automates what has largely been a manual process and addresses not only the retrospective recovery of monies owed by governmental entities, but provides prospective and concurrent management tools that enable clients to truly “manage” all components of this critical source of funding while providing quantifiable community services to those patients most in need.

For additional information on the Company, visit our Web site: www.dshmgmtsys.com


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