Medicare Financial Management Manual (Pub. 100-06), Ch. 4 § 70.17.3

Debts RTA by Treasury as Dispute Response not Received Timely (RX)

Last amended: 2023Year: 2023Length: 231 wordsOfficial source
70.17.3 - Debts RTA by Treasury as Dispute Response not Received Timely (RX) (Rev. 11787; Issued:01-19-23; Effective: 04-21-23; Implementation:04-21-23) The Treasury returns debts with this status code because the dispute response was not received timely. The contractor shall research and resolve the debts in a RX status that have a combined principal and interest balance greater than or equal to $25 within 30 business days in order to determine the current status of the debts. No further action is necessary if the debts are already in a recalled status. The contractors shall add a comment on the HIGLAS comment screen reflecting any action taken, the date of the RTA report in which the debts appear on and the financial statement reporting quarter in which the debts were resolved. RX debts that have a combined principal and interest balance of less than $25 • Contractor Utilizing HIGLAS shall allow HIGLAS to systematically change the status code to‘DR-RTN-CS’(Debt Returned from Cross-Servicing) which will allow the debt to be identified and written off by the HIGLAS Auto Write-Off Program. • Contractors NOT Utilizing HIGLAS shall submit these debts for close-out. If the debts are still valid and eligible for referral to Treasury, the contractors shall re-refer the debts to Treasury, even if a response to the disputes were previously submitted to Treasury. The contractors shall not issue a second Intent to Refer (ITR) letter.
Medicare Financial Management Manual (Pub. 100-06), Ch. 4 § 70.17.3: Debts RTA by Treasury as Dispute Response not Received Timely (RX) | Justis AI