Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 150.1

Eligibility for Accelerated Payment

Last amended: 2004Year: 2004Length: 221 wordsOfficial source
150.1 - Eligibility for Accelerated Payment (Rev. 29, 01-02-04) Provider eligibility for accelerated payments is contingent on the provider meeting all of the following conditions; • A shortage of cash exists whereby the provider cannot meet current financial obligations; and • The impaired cash position described in “A” is due to abnormal delays in claims processing and/or payment by the FI. However, request for accelerated payments based on isolated temporary provider billing delays may also be approved where the delay is for a period of time beyond the provider’s normal billing cycle. In this instance, the provider must assure and demonstrate that the causes of its billing delays are being corrected and are not chronic; and • The provider’s impaired cash position would not be alleviated by receipts anticipated within 30 days which would enable the provider to meet current financial obligations; and • The basis for financial difficulty is due to a lag in Medicare billing and/or payments and not to other third-party payers or private patients; and • The FI is assured that recovery of the payment can be accomplished according to the instructions in §150.4. NOTE: Each FI is cautioned that neither the revision of the current financing regulations nor the recovery of current financing payments is a basis for justifying a provider’s request for an accelerated payment.
Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 150.1: Eligibility for Accelerated Payment | Justis AI