Frequently Asked Questions

Disclaimer: The information provided in the Frequently Asked Questions below is for general informational purposes only and should not be construed as financial advice. The content is not intended to be a substitute for professional consultation. Reliance on any information provided in the FAQ section is solely at your own risk.

• What are Medicare Bad Debt Reimbursement Services?

  Medicare Bad Debt (MBD) Reimbursement refers to a provision that allows healthcare providers to receive partial compensation for uncollectible amounts from Medicare beneficiaries. When beneficiaries cannot pay deductibles or co-insurance, and the provider's reasonable collection efforts fail, the debt may be written off as 'bad debt.' Healthcare providers, such as hospitals and skilled nursing facilities, can then apply to recover a portion of these unpaid amounts from Medicare, typically around 65% as of recent regulations. This reimbursement helps ensure providers continue offering essential services, even when some patients are unable to meet financial obligations. The exact rules and reimbursement rate are complex and subject to change, and providers should consult current Centers for Medicare & Medicaid Services (CMS) guidelines or a Medicare Bad Debt Reimbursement expert for guidance.

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• What type of engagements do you offer?

  We offer a range of engagements tailored to the needs of healthcare providers. This includes a Retrospective Look Back project to review and reclaim previously written-off Medicare bad debts, current year filing projects to ensure timely recovery of eligible bad debts, and concierge audit support through the first Notice of Program Reimbursement (NPR). Our services are designed to help providers navigate the complex Medicare reimbursement process, ensure compliance with regulations, and maximize reimbursement, supporting both financial stability and operational efficiency.

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• How are your engagements performed?

  Our engagements for Medicare Bad Debt projects are performed in three distinct phases: Assessment, List Development, and Audit Support. Our approach is designed to provide a thorough, customized solution that maximizes Medicare Bad Debt Reimbursement, ensuring financial stability and regulatory compliance for your healthcare facility.

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• What is the process for getting started?

  Once you've contacted us, we'll set up a call to learn about your system, processes and people. We listen first. Then we'll talk about our process and suggest a solution to best suit your needs.

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• How do you keep our data safe?

  Keeping your data safe is our passion! We follow industry best practices and additional details can be shared during the sales process.

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• What else do you do with the data you collect from us?

  Absolutely nothing! We use a scaled-down data request that asks for only minimally-necessary information. We specialize in Medicare Bad Debt Reimbursement only, and will never be mining your data for further opportunities.

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