Audit Topics

Accelerated Payments

Accelerated Payments Eligibility

Bad Debts

Bad Debts Referred to a Collection Agency
Collection Efforts for Dual Eligible Bad Debts
Medicare Bad Debt Listing
"Must Bill" Policy for Reimbursement of Dual-Eligible Bad Debts

Should you require any additional information or clarification on the subject Bad Debts, please contact the Field Office Manager or Audit Supervisor assigned to your provider.

Disproportionate Share (DSH)

Cost Report Reopening Notices
DSH Documentation for Audit/Review Purposes
DSH Dual Eligible Patients
Labor & Delivery Days

Should you require any additional information or clarification on the subject DSH, please contact the Field Office Manager or Audit Supervisor assigned to your provider.

Electronic Health Record Incentive Payment

Critical Access Hospital (CAH) EHR Incentive Required Documentation
Electronic Health Record Incentive Program

General Audit Topics

Auditor Requested Explanations
CAH Optional Method Election for Outpatient Services
Critical Access Hospitals - Physician Compensation Costs
End Stage Renal Disease (ESRD) Low Volume Facility Adjustment
Meal Reimbursement for Medicare Part B Patients
Re-Basing Instructions for Sole Community Hospitals (SCHs)
Special Rules for Critical Access Hospitals Outpatient Billing
Step Down Cost Allocation Statistics

Low Volume Hospitals

Low Volume Add-On Payment
Low Volume Add-On Payment Instructions for FFY 2012

Medicare Advantage HMO Claim

Proper Billing for Various Medicare Advantage HMO Claims

Organ Acquisition

Organ Acquisition Documentation for Audit/Review Purposes

NPI Eligibility

2012 PCIP NPI Eligibility FileExcel Document
2011 PCIP NPI Eligibility FileExcel Document

Page Last Updated: Thursday, 29-Dec-2011 09:24:52 CST