Financial Data Submission Tools
NEW!! - Uncompensated Care (UCC) Data
Patient-level uncompensated care charity and bad debtwrite-offs and recoveries for regulated hospital services that are reconciled to the charity and bad debts reported on Annual Report Schedule RE. This data is used by the HSCRC to: 1) determine the sources of uncompensated care; and 2) perform modeling, evaluation and estimating Maryland hospitals uncompensated care amounts to be built prospectively into rates for the upcoming fiscal year. For questions regarding the UCC data reporting instructions, please contact Irene Cheng.
Memorandum: Revisions to Quarterly UCC Write-off Data Report Instructions (December 1, 2022)
UCC Training Webinar Recording,
(December 9, 2022)
Uncompensated Care Write-off Quarterly Report Template download (excel file, March 18, 2015)
FY 2023 UCC Report Schedule (December 2022)
FY 2024 UCC Report Schedule (June 2023)
Uncompensated Care Data Submission Requirements (Jul 2023)
This document contains the UCC data submission requirements and edit rules applied to the UCC data summary and error report generated in Data Accuracy Verification Engine (DAVE).
Annual Cost Report Model - input and output worksheets for all cost report schedules, which are part of the Annual Filing for FY 2023, includes print macros for several output schedules. It is permissable to use other models, as long as the outputs match the available schedules in the model below. (August 10, 2023)
Preliminary Supplemental Schedule for Population Health and Care Transformation Expenses
a preliminary schedule organized at a system level to capture cost information on investments of funds saved as a result of eliminating low value direct care and the investment those funds into high value indirect efforts that improve population health and the effectiveness and efficiency of necessary care. Instructions
Case Mix Reconciliation
form is used to reconcile hospital financial data by payer (All-Payer, Medicare FFS, Medicare HMO) and patient residency with the case mix patient-level charges.
Intern and Resident Survey (IRS) Schedule Template contains a worksheet with instructions. In 2012, based on hospital feedback, HSCRC staff added to the Schedule IRS template a column (Col 11 Percent of Rotation) in which hospitals may report a percentage of the rotation period for which a resident worked on patient care activities at the hospital. *Note that a hospital's IRS Schedule must reconcile with the hospital's IRIS (Intern and Resident Information System) Report submitted to the Medicare fiscal intermediary. If the reports do not reconcile, the hospital must submit a supplementary worksheet to HSCRC staff explaining the reasons for the differences between the reports.
Outpatient Services Survey lists all outpatient services at regulated hospitals that are:
- Owned (more than 50%) by the hospital regardless of whether it is a regulated or unregulated service, no matter where the services are located, or
- Not owned by the hospital but located in the principal hospital buildings or in other buildings in which regulated hospital services are provided.
The Hospital Patient Information Sheet According to Health-General §19-214.1(e), Maryland’s acute care hospitals must provide a patient information sheet to patients being discharged from the hospital. The HSCRC has developed Guidelines for the Patient Information Sheet
and answers to Frequently Asked Questions
in order to assist hospitals in developing/editing their own patient information sheets. For more information, please contact Megan Renfrew at 410-764-2605.