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Long-Term Care Hospitals Denied Pay for Medicare Bad Debt

Sept. 27, 2019, 7:47 PM

A group of long-term care hospitals didn’t prove they were entitled to recover about $3 million from a federal health-care agency to reimburse them for Medicare patients’ bad debts, a federal court in the District of Columbia said.

There was no evidence the Centers for Medicare & Medicaid Services changed its policy of reimbursing providers for patients’ unpaid deductibles and co-insurance amounts by imposing a “must bill” requirement on providers, the U.S. District Court for the District of Columbia said Sept. 27. The court granted the CMS summary judgment.

The providers didn’t produce evidence proving the CMS changed its Medicare ...