Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 150
ACCELERATED PAYMENTS- FI ONLY
150 - ACCELERATED PAYMENTS- FI ONLY
(Rev. 29, 01-02-04)
An accelerated payment may be issued where there is:
• A delay in payment by the FI for covered services rendered to beneficiaries and this delay has
caused financial difficulties for the provider,
• In highly exceptional situations where a provider has incurred a temporary delay in its bill
processing beyond the provider’s normal billing cycle, or
• In highly exceptional situations where CMS deems an accelerated payment is appropriate.
A request for an accelerated payment shall not be approved unless the provider meets all eligibility
requirements, including an assurance that recoupment of the payment will be made on a timely basis.
The amount of the accelerated payment is computed as a percentage (sufficient to alleviate the impaired
cash position but in no case to exceed 70 percent) of the amount of net reimbursement represented by
unbilled discharges or unpaid bills applicable to covered services rendered to beneficiaries.
Accelerated payments shall be approved by the FI and the appropriate regional office. The regional
office will review each request for an accelerated payment to assure that the accelerated payment
provisions are being correctly and consistently applied and to provide the Administration with timely
information concerning provider and FI bill processing.