HAI addresses every possible avenue for the optimization of this 'bottom line' adjustment. Changes have been made, cases successfully appealed, and precedents made recently that have affected this calculation. We have succeeded in qualifying hospitals that have never before qualified for the DSH adjustment, through techniques and research that has consistently resulted in approval by the Fiscal Intermediaries in a number of states. Our approach addresses every possible component of the calculation, including issues that affect not just the numerator but also the denominator. As with any issue that we pursue for a client, we can stay focused on a detail and follow it to its logical conclusion because that is our engagement.

Benchmark : If previously not qualified for DSH, qualification could mean 2.5% to 4 % of your Medicare I/P revenues.