How should a hospital report a lump sum, bad debt recovery that cannot be tracked back to individual patient accounts?
Bad debt recoveries should be reported in the cost report year in which the recovery was made, and if at all possible, they should be reversed from the same Schedule F entry as the original write-off. However, if a lump sum recovery cannot be tracked back to the account(s) that were included in the original >100% FPL Schedule F entry, a prorated percentage of the recovery should be taken from each of the four >100% FPL categories. (6/18/03) 7.9 Step 10 of the procedures in OAC 5101:3-2-23 , Appendix A permits hospitals to include charges for pending Medicaid accounts in the <100% FPL logs and Medicaid Cost Report Schedule F entries. How should this process be administered? When should the list of pending accounts be double-checked to ensure they have not been declared Medicaid-eligible? Hospitals must keep a separate log of accounts for patients who are <100% FPL and have a Medicaid application pending with the County Department of Job and Family Services (CDJFS). When the determinatio
Bad debt recoveries should be reported in the cost report year in which the recovery was made, and if at all possible, they should be reversed from the same Schedule F entry as the original write-off. However, if a lump sum recovery cannot be tracked back to the account(s) that were included in the original >100% FPL Schedule F entry, a prorated percentage of the recovery should be taken from each of the four >100% FPL categories. 8.9 Step 10 of the agreed-upon-procedures in OAC 5101:3-2-23 , Appendix A permits hospitals to include charges for pending Medicaid accounts in the <100% FPL logs and Medicaid Cost Report Schedule F entries. How should this process be administered? OHA recommends hospitals get a signed HCAP application from the patient or his/her legal representative at discharge for every patient who is <100% FPL and has a Medicaid application pending with the County Department of Job and Family Services (CDJFS). These accounts should be kept in a separate, "Medicaid Pending
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