Medicare Bad Debt Listing

Providers are required to submit a bad debt listing with their as submitted cost report if they are claiming reimbursement for Medicare bad debts. The listing must contain certain supporting data, which are described in CMS Pub. 15-2, Chapter 11, Exhibit 5 and listed below. Please be aware we may disallow reimbursement for these bad debts at tentative settlement if your listing is missing any one of these supporting data.

1) Patient Name
2) HIC No.
3) Dates of Service (From/To)
4) Medicaid Number, if applicable
5) Date First Bill Sent To Beneficiary
6) Write-Off Date
7) Remittance Advice Dates
8) Deductible
9) Coinsurance
10) Total

Page Last Updated: Tuesday, 12-Jul-2011 09:54:48 CDT