The PRS Experience PRS specializes in Medicare Disproportionate Share reimbursement.  Our focus is personal attention, client satisfaction and audit accuracy for each client hospital we serve.     Hospitals bear the burden of proof to verify with the State the patient's Medicaid eligibility during their inpatient hospital stay. HCFAR 97-2-4

Hospital DSH Adjustment History Report This individualized snapshot shows DSH adjustment reimbursement changes from the hospital's "As Submitted" cost report to the "Settled with Audit" report. Request Your Tool Now Centers for Medicare and Medicaid Services

FY 2007 SSI Ratio changes (bottom of page)  more...   Proposed changes for FFY 2011  more...   CMS Ruling # CMS-1498-R Appeals of DSH payments  more.. Hospitals are responsible for and must provide the documentation to substantiate the number of days claimed to their intermediary as required. HCFAR 97-2-4