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Article: Courts reverse HCFA on bad-debt issue. (Healthcare Financing Administration) (Medicare/Medicaid Litigation)
- Article from:
- Healthcare Financial Management
- Article date:
- April 1, 1994
- Author:
CopyrightCOPYRIGHT 1994 Healthcare Financial Management Association. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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Over the past several years, one of the most frequently litigated issues before the Provider Reimbursement Review Board (PRRB) has been providers' entitlement to Medicare reimbursement for bad debts attributable to Medicare deductibles and coinsurance. The PRRB sometimes has been sympathetic to providers, but the Health Care Financing Administration (HCFA) administrator has invariably reversed in favor of Medicare intermediaries.
Two recent Minnesota Federal District Court Decisions--Hennepin County Medical Center v. Shalala and St. Paul-Ramsey Medical Center v. Shalala--have greatly simplified this issue. If other courts agree with these court decisions, very few ...