While seemingly straightforward, these basic requirements are deceptively complex. They have often been the subject of clouded interpretations, mixed rulings by boards and courts, and shifting documentary requirements of fiscal intermediaries. A provider should expect to navigate an often cumbersome path to a successful claim for Medicare bad debt reimbursement. Issues likely to be pointedly reviewed or contested by fiscal intermediaries include strict patient-by-patient documentation requirements, the comparative reasonableness of collection efforts, claims for bad debts relating to indigent patients, and the timing, rigor, and duration of collection efforts.

SRG has considerable experience assisting hospitals to navigate these and other issues surrounding Medicare bad debts. Our experience with a range of fiscal intermediaries provides us with valuable insight into the often unique requirements of each. At your request, SRG stands ready and able to assist your institution with perfecting your legitimate and fully documented claim for Medicare bad debt reimbursement.