The Regional Hospital of Scranton was reviewed under Pennsylvania’s Tobacco Settlement Act to determine its eligibility for payments for uncompensated care. The audit is based on extraordinary expense claims and uncompensated care scores using data such as uncompensated care costs, net patient revenues, and inpatient days. In the fiscal year ending June 2025, the hospital […]
The Tobacco Settlement Program mandates payments to hospitals for uncompensated care. Paoli Hospital’s eligibility for the 2027 settlement payment is evaluated using claims for extraordinary expenses. Of the 29 reported claims for the fiscal year ending June 30, 2025, only 15 met the requirements, primarily involving uninsured patients. The uncompensated care score, based on various […]
Bryn Mawr Hospital is eligible for payments under the Tobacco Settlement Act by achieving a qualifying percentage of extraordinary expense claims for uncompensated care in the 2027 payment year. Of the 21 potential extraordinary expense claims for the fiscal year ended June 30, 2025, 13 met the criteria. Claims qualified if inpatient services were provided […]
The Tobacco Settlement Act mandates payments to hospitals for uncompensated care. This audit reviewed Lankenau Medical Center’s eligibility for the 2027 Tobacco Settlement Payment. Of 24 reported extraordinary expense claims, 11 qualified based on set criteria. The audit also verifies inpatient and MA days for fiscal year ending June 30, 2024, noting necessary adjustments. The […]
The Tobacco Settlement Program mandates the Pennsylvania Department of Human Services (DHS) to compensate hospitals for uncompensated care via either an uncompensated care score or an extraordinary expense approach. Allegheny General Hospital’s claims for extraordinary expenses for fiscal year 2025 were reviewed, revealing that four of ten claims qualified, potentially making it eligible for a […]
Roxborough Memorial Hospital was audited regarding its eligibility for payments under the Tobacco Settlement Act of 2001 for a portion of its uncompensated care services. The evaluation focused on reported extraordinary expense claims, substantiation of reported claims, and total inpatient days as of June 30, 2025, and June 30, 2024, respectively. Seven out of eight […]
The Punxsutawney Area Hospital participated in a review process under the Tobacco Settlement Act of 2001, which allows hospitals to receive payments for uncompensated care. Two approaches are used: uncompensated care and extraordinary expense methods. For fiscal year 2025, the facility reported two extraordinary expense claims, where only one was eligible. The hospital’s submitted data […]
The Tobacco Settlement Act mandates the Department of Human Services (DHS) to compensate hospitals for uncompensated care through payments based on uncompensated care scores or extraordinary expenses. Pottstown Hospital’s claims for the fiscal year ending June 30, 2025, were evaluated for eligibility under the extraordinary expense criteria. Out of eight reported claims, seven met the […]
The Tobacco Settlement Act mandates payments to hospitals like Penn Highlands Tyrone for uncompensated care services provided to uninsured patients. Hospitals can receive payments using two methods: the uncompensated care or extraordinary expense approach. The extraordinary expense approach is for claims that exceed double the average cost of all inpatient claims at the facility. An […]
The report outlines the audit of Penn Highlands Connellsville’s eligibility under the Tobacco Settlement Program for 2027, guiding payments for uncompensated care services. The assessment involved reviewing claims for extraordinary expenses and inpatient days to ensure adherence to program criteria. The analysis revealed that a reported extraordinary expense claim did not qualify due to payment […]