Medicare Bad Debt Reimbursement

We have a program to identify, capture, and report additional inpatient and outpatient bad debts not included on your originally filed cost report. This includes a unique technological solution for analyzing virtually all of your Medicare accounts. This ensures that we review any account that has unpaid coinsurance or deductible for reimbursement potential.

Our bad debt program includes an analysis of data extracted from your patient accounting system and data obtained from fiscal intermediaries. Once we receive the data, we need almost no input from our clients in order to analyze the patient accounts.

Upon completion of our data analysis, we provide a detailed report of our findings. It includes:

• A list of accounts that we identified as subject to additional reimbursement.

• Our conclusions about the reasons the accounts were missed on the original filing.

• Our recommendations for system changes to enable you to capture similar accounts in the future.

Once you understand and approve our conclusions, we prepare a package for presentation to your fiscal intermediary describing the reasons for reopening and listing the additional bad debt in the formats they require. But our work does not end with the reopening request.

With your approval, we work with your fiscal intermediary through the ultimate settlement of the reopening, responding to audit sample requests and answering any questions or concerns they have. This is what we do—it is not just another task in our day. As a result, we respond to auditors quickly, ensuring a timely completion of the reopening and the earliest possible receipt of the additional reimbursement.

Disproportionate Share Reimbursement | Healthcare Provider Tax Refund Analyses