Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 150

ACCELERATED PAYMENTS- FI ONLY

Last amended: 2004Year: 2004Length: 208 wordsOfficial source
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.
Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 150: ACCELERATED PAYMENTS- FI ONLY | Justis AI