When a hospital acquires another hospital, the state should use all available data to determine the UPL and work with CMS to assure appropriate reporting. When a hospital ceases operation, the state should not annualize data if it does not cover a 12-month period.
Date
Topic
Upper Payment Limit (UPL)
Demonstrating the UPL
Sub Topic
Medicare Cost Reporting Period
FAQ ID
92391
FAQ Page
Upper Payment Limit FAQs
FAQ Question
How should cost data reported for a partial year be treated either when one hospital acquires another hospital or a hospital ceases operation?