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Wage Index and Occupational Mix
June 7 @ 9:00 am - 2:00 pm| $85
To learn more about your Medicare wage index and occupational mix survey, THA and DHG Healthcare have teamed up to provide a 4 hour education program to assist Tennessee hospitals better understand the regulations and prepare for the upcoming reporting deadlines.
Occupational Mix Survey
Short-term, acute-care hospitals participating in Medicare are required to collect and submit their data on occupational mix of employees to the Medicare Administrative Contractor (MAC) by July 1, 2017. This survey applies to all pay periods ending between January 1, 2016, and December 31, 2016, and will be applied to the fiscal year 2019 wage index data.
An accurate 2016 Occupational Mix Survey is critical to receiving full and proper reimbursement and can be challenging due to the following factors:
- Confusing or vague instructions for completing the Occupational Mix Survey
- Existing demands on Reimbursement Staff
- Complexity of the actual occupational mix adjustment calculation, its’ data components, and the methodology used to incorporate the adjustment into the wage index
- Lengthy verification/validation process, and
- Inexperienced MAC/FI auditors
- Gain an in-depth understanding of the 2016 Occupational Mix Survey and instructions
- Learn how to calculate an individual provider’s Occupational Mix Adjustment and understand how the Occupational Mix Adjustment flows into CMS’ calculation of the wage index
- Learn “best practice” methodologies and avoid common “pit-falls” through a comprehensive Case Study example
- Participate in an open forum group discussion to assist you in resolving your specific questions and challenges.
The Medicare Wage Index is a comprehensive calculation performed by CMS in a separate formula outside of the Medicare cost report forms and is based on wage data entered into CMS 2552-10, Worksheet S-3, Parts II – V. Over the past several years the Medicare wage index calculation has evolved and it will continue to change as CMS continues to strive for an equitable and reliable wage index. Without an adequate understanding of the wage index calculation and the proper identification and accumulation of information used in the preparation of Worksheet S-3, an inaccurate wage index could easily be produced.
As the Centers for Medicare and Medicaid Services (CMS) continues to tighten hospital payments and potential cuts always looming on the horizon – your hospital’s Wage Index has become one of the few areas where you can have a direct impact on reimbursement and potentially increase future Medicare payments. All providers should complete a detailed wage index assessment each year to ensure accurate reporting of Worksheet S-3.
The goals of this session will include the following areas:
- Gain an overview of the calculations for the Medicare Average Hourly Wage and Wage Index
- Gain an understanding the FFY 2018 Wage Index Verification Timeline and the important “watch-for” dates
- Become more familiar with the structure of Form CMS 2552-10, Worksheets S-3, Part II – V and the preparation instructions
- Recognize wage data pitfalls and establishing best practices
- Gain an understanding in the more challenging wage data issues of self-funded employee health costs and Defined Benefit Plans.