Should a hospital treat a payment from a local levy that covers indigent patients as a bad debt recovery?
No. It is not necessary to net local levy payments from the amount claimed as uncompensated care on the Medicaid Cost Report. (10/6/03) 7.14 Many hospitals automatically write-off small balance, patient pay accounts. Can these small balance write-offs be claimed as uncompensated care and included in the logs and cost report entries for >100% FPL? Yes, assuming the hospital has ensured the small balance write-offs do not contain charges for Medicaid recipients, they represent medically necessary, hospital-level services, they are divided between insured and non-insured entries, and they can be certified as required by Appendix A of OAC 5101:3-2-23 .
No. It is not necessary to net local levy payments from the amount claimed as uncompensated care on the Medicaid Cost Report. 8.14 Many hospitals automatically write-off small balance, patient pay accounts. Can these small balance write-offs be claimed as uncompensated care and included in the logs and cost report entries for >100% FPL? Yes, assuming the hospital has ensured the small balance write-offs do not contain charges for Medicaid recipients, they represent medically necessary, hospital-level services, they are divided between insured and non-insured entries, and they can be certified as required by Appendix A of OAC 5101:3-2-23. Un-renumbered FAQ 7.15 was eliminated.
