tci Medicare Compliance & Reimbursement - 2003 Issue 10

Hospitals: BAD DEBT COMPLIANCE -- WHAT TO WATCH FOR

The latest round of HHS Office of Inspector General inquiries into how well hospitals comply with rules on Medicare bad debt reimbursement identify a number of compliance trouble spots — some in familiar areas hospital compliance officers should take note of. Bad debt — i.e., Medicare coinsurance amounts that aren’t reasonably collectible — can be reimbursed under Medicare, but hospitals seeking payment have to follow the rules to the letter. The OIG, however, has conducted a welter of audits on the issue that routinely identify compliance problems. Tallying the results of three of the latest reports, the...

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