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Perfectly Suited For Each Other: How Our Medicare Bad Debt Processes Dovetail With Yours 

Many hospitals identify their starting universe of Medicare bad debt using insurance codes within their patient accounting system. Hospital staff whittle down this population, applying additional transaction codes and write-offs. These processes rely on coding consistency and accuracy, two areas where patient accounting systems frequently fall short. Hospital processes often miss the improperly coded accounts […]

Are You a Rural Inpatient Care Hospital Considering Becoming an REH?

Are you a rural inpatient care hospital considering becoming an REH? If so, you may also be eligible for a Volume Decrease Adjustment Amidst an ongoing period of hospital closures in rural communities, Congress created a new provider category for rural hospitals called the Rural Emergency Hospital (REH). This new provider category takes effect in […]

Inflation’s Impact on Bad Debt

CMS forecasts out-of-pocket costs hitting households are projected to climb 6.1% in 2022, and an average of 4.6% annually to 2030 – roughly the same rate as their wages. This steep increase in forecasted spending suggests growing affordability issues at a time when families across America are already feeling squeezed by increasing food, interest rates, […]

CMS Guidance Regarding Accounting Treatment of Reimbursable Bad Debt

CMS guidance now specifies that uncollected amounts must be charged to an expense account for uncollectible accounts (bad debt); whereas previously, many hospitals wrote these amounts off as a contractual adjustment. This was particularly true in the case of crossover claims (where a patient was eligible for both Medicare and Medicaid), and patient accounting systems […]

Insights

Our hearts go out to the people of Ukraine, and we at HRS want to acknowledge 9 hospitals/systems who, in response to the images and reports from the war, are donating their own medical supplies and medicines to be sent to the war-torn nation.   1.   The University of Maryland Medical System in Baltimore partnered with medical supply distributor […]