The Tobacco Settlement Act of 2001 requires the Department of Human Services (DHS) to provide payments to hospitals for uncompensated care, utilizing either uncompensated or extraordinary expense approaches. Forbes Hospital’s claims for the fiscal year ending June 30, 2025, were analyzed for eligibility under the extraordinary expense method, with three of five claims qualifying. The […]
The Berwick Free-Standing Psychiatric Hospital was audited for potential payments to cover uncompensated care services via the Tobacco Settlement Act. The Department of Human Services (DHS) assesses hospitals based on either uncompensated care scores or extraordinary expense claims. For fiscal year 2025, Berwick did not have eligible extraordinary expense claims, impacting its eligibility for 2027 […]
The Tobacco Settlement Program requires the Department of Human Services (DHS) to allocate payments to hospitals for uncompensated care. Guthrie Troy Community Hospital underwent an assessment to verify reported claims and days data for possible eligibility under this program. The investigation revealed no eligible extraordinary expense claims for the fiscal year ending June 2025, making […]
The Tobacco Settlement Program report outlines how the Guthrie Robert Packer Hospital, under the Tobacco Settlement Act of 2001, sought payments for uncompensated care services. Hospitals may qualify for payments using either uncompensated care or extraordinary expense approaches. The engagement aimed to verify the eligibility of reported claims and the accuracy of inpatient days data […]
The Geisinger Lewistown Hospital undertook a review process as mandated by the Tobacco Settlement Act of 2001 to determine eligibility for payments to cover uncompensated care services. This process involved evaluating claims for extraordinary expenses by ensuring they met specific criteria, such as costs incurred from treating uninsured patients. Only two of the nine reported […]
The Tobacco Settlement Act mandates payments to hospitals for uncompensated care services. Geisinger Jersey Shore Hospital’s eligibility for the 2027 Tobacco Settlement Payment was reviewed. The claims submitted did not meet the criteria for extraordinary expense claims, making the hospital ineligible for payments under that method unless additional claims are submitted and approved. For reported […]
The Geisinger Bloomsburg Hospital is part of the Tobacco Settlement Program, through which it may receive payments for uncompensated care services. This program, established by the Tobacco Settlement Act of 2001, allows hospitals to choose between two approaches for determining payment eligibility: uncompensated care or extraordinary expense claims. In 2025, Geisinger Bloomsburg Hospital reported three […]
The Tobacco Settlement Act mandates the Department of Human Services (DHS) to compensate hospitals for uncompensated care using two approaches: uncompensated care or extraordinary expense. Foundations Behavioral Health was evaluated for its eligibility under these methods. The engagement found no extraordinary expense claims for the fiscal year ending June 30, 2025, rendering the facility ineligible […]
Fairmount Behavioral Health System was audited under the Tobacco Settlement Act for eligibility to receive payments based on uncompensated care or extraordinary expenses. The audit checks claims data for the fiscal year ending June 30, 2025, to ensure compliance with Medicaid and Medicare requirements. No eligible extraordinary expense claims were found for Fairmount, disqualifying them […]
The Brooke Glen Behavioral Hospital’s was audited for potential payments based on two methods: uncompensated care and extraordinary expense approaches. Both approaches involve analyzing data elements like care costs and inpatient days. The recent audit indicates that for the year ending June 30, 2025, Brooke Glen did not have claims qualifying for extraordinary expense payments […]