Audit & Reimbursement

Accelerated Payments - View reasons a provider may request an accelerated payment as well as Provider Request for Accelerated Payment Form, Accelerated Payments Calculation, and Accelerated Payment Request Certification

Audit - View Bad Debt, Wage Index, Diagnosis Related Group (DRG), Resource Utilization Group (RUG), Method Billing, and other financial related topics information

Audit & Reimbursement Forms - View Audit and Reimbursement related forms

Cost Reports - View timelines, submission requirements, mailing and contact information, requests for copies, and Provider Statistical and Reimbursement (PS&R) system information

Credit Balance Reports - Access CMS 838 format, Noridian's Excel spreadsheet template, Certification Page, and Details Page instructions

Interim Rate Review - View Year-End Interim Rate review information, timelines per provider's fiscal year end, provider types, and the Tentative Settlement (TS) review

Overpayments - View Demand Letters, Immediate Offset Request, Overpayment Interest Rates, Sending Part A Overpayments Checks information

PRRB and Hearing - View Provider Reimbursement Review Board (PRRB) process and Intermediary appeal hearing contact information

Periodic Interim Payments (PIP) - View information in regards to providers who receive bi-weekly Medicare Periodic Interim Payments (PIP)

Rebate Summary Letters - View information regarding rebate summary letters sent to providers to explain B2 and provider submitted check refunds found on Remittance Advices

Voluntary Refund/Self Disclosure Process - View processes defined when providers feel they may have a potential self-disclosure or voluntary refund they need to complete to Medicare

Wage Index - Access Hospital Wage Index Development Time Table, Pension Plan Costs and workshop, and Wage Index Prefunding Worksheet

Resources

 

Last Updated Apr 18, 2018