tci Medicare Compliance & Reimbursement - 2003 Issue 39

Long-Term Care: CRACKDOWN ON BAD DEBT IS BAD NEWS FOR SNFs

Nursing homes stand to lose thousands of dollars on reimbursement for Medicare bad debt. At the root of bad-debt concerns is the move by the Centers for Medicare & Medicaid Services to phase out payments to skilled nursing facilities for bad debt associated with Part A claims. But there's more threatening the revenue source than the proposed rule published in the Federal Register on Feb. 10, 2003 (http://cms.hhs.gov/providerupdate/regs/cms1126p.pdf). CMS and its fiscal intermediaries aren't waiting for a final rule. They're limiting bad debt reimbursement now by tightening up how claims are handled under the existing regs...

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