The proposed rule also includes a change in Medicare’s payments to ESRD facilities of allowable bad debt from patient co-pays and deductibles. Currently an ESRD facility receive 100% of allowable bad debt amounts from Medicare, subject to the facility’s reasonable cost. However the Middle Clas...
inpatient payment calculation to determine whether this claim would qualify for a high cost outlier add-on payment. Second, calculate the total reimbursement for this claim, including the additional amount that the facility would receive for the high cost outlier if applicable. Does this facility hav...