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Showing 2 posts by Robert L. Roth.

Hooper, Lundy & Bookman, P.C. (HLB) wants to make hospitals aware of current adjustments being imposed by certain MACs denying reimbursement for Medicare bad debts for the alleged failure to maintain “continuous” collection efforts during the 120-day period following the issuance of a bill to the patient for unpaid co-pay and deductible amounts. MACs are asserting that a patient is more likely to pay these amounts during the 120-day period, so continuous efforts are allegedly required to meet the obligation of hospitals to engage in a “genuine, rather than token collection effort,” in accordance with PRM-I, §310.  Read More ›

CMS’s Final Rule Implementing the 60-Day Report and Return Statute for Medicare Parts A and B Significantly Broadens the Scope of Overpayments and the Duty of Providers to Identify Them. View full article here.

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