DCM Services
Assuring CMS Compliance and Reimbursement
Requirements for Healthcare Providers
FACT SHEET
What are the requirements for providers to
be eligible for Medicare reimbursement?
Why is this an issue with hospital providers?
Hospital providers must make reasonable
collection efforts before seeking Medicare
reimbursement of bad debts. To be eligible for
reimbursement, providers must also document
such efforts. Parallel collection attempts are
required for both accounts that are eligible for
reimbursement and accounts that are not.
Medicare reimbursement can be denied to hospital
providers who do not produce correct documentation and
demonstrate Medicare standards of reasonable collection
efforts.
For many sizable providers, failure to capture these
essential reimbursement funds can mean a potential loss
of hundreds of thousands, even millions, of dollars.
How does DCM Services fulfill the Medicare
requirements?
In regard to deceased patient accounts, a person’s estate
is a legal entity created for the purpose of paying debts.
TM
Searching for an estate, using DCM Services’ EstateWise
suite of solutions, from desktop to full-service
outsourcing, complies with Medicare’s definition of
“reasonable collection efforts.”
In addition, DCM Services’ solutions also include
documentation of reasonable collection efforts required
for reimbursement, such as documentation of estate
searches and of efforts made to contact the person(s)
responsible for managing the estate or outstanding bills
of the deceased patient.
DCM Services
7601 penn ave s, a600
minneapolis, minnesota
55423
612.243.8620