The document outlines the procedures and results concerning UPMC Wellsboro’s eligibility for payments under the Tobacco Settlement Act, focusing on uncompensated care and extraordinary expense claims for fiscal years ending June 30, 2023, and June 30, 2024. The engagement verified that Wellsboro reported one eligible extraordinary expense claim and confirmed its total inpatient days and […]
The Tobacco Settlement Program, established by the Tobacco Settlement Act of 2001, provides payments to hospitals for uncompensated care services based on specific criteria. UPMC Muncy’s eligibility for the 2026 payment was evaluated, focusing on extraordinary expense claims and reported inpatient and Medical Assistance (MA) days. The audit revealed no eligible extraordinary claims for fiscal […]
The letter from the Office of the Auditor General to UPMC Mercy’s CFO details the procedures and findings relating to the 2026 Tobacco Settlement Payments. Under the Tobacco Settlement Act, hospitals may receive payments for uncompensated care via two methods: the uncompensated care or extraordinary expense approaches. The auditor examined UPMC Mercy’s claims to determine […]
The Tobacco Settlement Program mandates the Department of Human Services (DHS) to make payments to hospitals, like Titusville Hospital, for uncompensated care services. Hospitals can qualify using either an uncompensated care or extraordinary expense approach. DHS requested a review of Titusville Hospital’s claims data to determine eligibility for payments. For fiscal year 2024, Titusville did […]
St. Luke’s University Health Network participated in the Tobacco Settlement Program under Pennsylvania’s Tobacco Settlement Act, which provides payments to hospitals for uncompensated care. This involves two approaches: uncompensated care and extraordinary expense. The former uses a care score based on various hospital data, while the latter focuses on claims exceeding twice the average claim […]
The report details the evaluation of St. Clair Hospital’s eligibility for the 2026 Tobacco Settlement Payment under Pennsylvania’s Tobacco Settlement Act. The Act mandates payments to hospitals for uncompensated care, with St. Clair Hospital opting for the extraordinary expense approach. The hospital’s claims were assessed for eligibility, revealing 13 out of 15 met the criteria […]
The Phoenixville Hospital’s 2026 Tobacco Settlement Program details the procedures and findings related to uncompensated care services, following the Tobacco Settlement Act. The Department of Human Services (DHS) aims to support hospitals with payments for care given to uninsured patients. Verification processes determine the accuracy of claims, focusing on extraordinary expense and uncompensated care approaches. […]
Mount Nittany Medical Center reviewed its eligibility for the 2026 Tobacco Settlement Payment under Pennsylvania’s Tobacco Settlement Act. The program provides funds to hospitals to offset costs from uncompensated care services. Hospitals can qualify through the uncompensated care approach or the extraordinary expense approach, which relies on claims that exceed twice the hospital’s average cost […]
The letter to Mr. David Lim, CFO of Lower Bucks Hospital, outlines the procedures performed to evaluate the hospital’s eligibility for the 2026 Tobacco Settlement Payment. This payment is based on the Tobacco Settlement Act, which compensates hospitals for uncompensated care services. The eligibility can be determined by either the uncompensated care approach or the […]
The 2026 Tobacco Settlement Payment report for Jefferson Health Northeast outlines procedures for determining eligibility for payments based on uncompensated care services, as mandated by the Tobacco Settlement Act of 2001. DHS required verification of uncompensated care claims submitted by the facility using data elements such as claim costs and patient days. For the fiscal […]