decisionhealth Newsletters, Answer Books - 2011 Issue 2 (February)
Answer_Book / Cash_Advances / How to request an advance payment
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Article Overview
This short article outlines how providers can request an advance payment and what supporting information may be needed for the request. It is aimed at providers and billing staff who need a general overview of carrier submission options and the types of financial information commonly gathered for review. The article also notes that CMS has discretion in these decisions and that the determination is not subject to appeal.
Why This Topic Matters
Providers facing temporary financial hardship may need to understand the request process, the kinds of data to prepare, and where to direct the submission. Knowing the general administrative requirements can help billing teams assemble a complete request before contacting the carrier.
Article Sections
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How to request an advance payment
Overview of carrier submission methods and the basic provider and financial information that should be prepared for a request. Includes a sample format for summarizing hardship-related financial information and a note on CMS discretion.
What You Will Learn
- What general information may be needed to submit an advance payment request
- What types of submission methods a carrier may accept
- What broad financial information may be gathered to support a hardship request
- How the article frames CMS discretion in the advance payment process
Who Should Read This
- Providers
- Billing staff
- Revenue cycle staff
- Practice administrators
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