Medicare Compliance & Reimbursement - 2013 Issue 4
Reimbursement Alternatives: You Could Be Missing Out On Section 1011 Funds
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Article Overview
This article explains a federal reimbursement program created under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 and administered through CMS. It is aimed at hospitals, physicians, ambulance providers, and similar organizations that may have unpaid emergency-care accounts tied to undocumented patients. The article also notes state-by-state fund exhaustion status, discusses the program’s funding timeline, and points readers to official CMS resources and policy materials for enrollment and payment-request guidance.
Why This Topic Matters
Providers in some states may still have access to remaining program funds for otherwise unreimbursed emergency services, making this relevant to revenue cycle teams, ED coders, billing staff, and compliance personnel handling difficult-to-collect accounts.
Article Sections
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Section 1011 reimbursement overview
Introduces the federal reimbursement program, its legislative origin, and the types of providers discussed in relation to emergency care funding.
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State fund status and payment availability
Summarizes the funding allocation period, notes that some state allocations have been exhausted, and indicates that remaining funds may still be available in other states.
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Payment timing and resources
References payment timing information for claims with recent dates of service and provides CMS resource links, including program and policy references.
What You Will Learn
- The federal program framework discussed in the article
- Which provider types are described as potential recipients of reimbursement
- How the article frames state-level fund availability
- What official CMS resources are referenced for program information
- What kinds of administrative materials are associated with the program
Who Should Read This
- Hospital billing departments
- Emergency department coding staff
- Physicians and physician practices
- Ambulance providers
- Revenue cycle and reimbursement professionals
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