Medicare Financial Management Manual (Pub. 100-06), Ch. 5 § 270.19

Line 4, Status of Delinquent Receivables, greater than 180 Days

Last amended: 2006Year: 2006Length: 283 wordsOfficial source
270.19 - Line 4, Status of Delinquent Receivables, greater than 180 Days (Principal & Interest) (Rev. 111; Issued: 10-27-06; Effective: 04-01-07; Implementation: 04-02-07) The contractor enters the total number and amount of delinquent receivables 181 days delinquent and greater, which are in one of the following categories: (a) Referred to the Department of the Treasury for Cross Servicing. For MSP, this means debts entered into the DCS. For Non-MSP, this means debts that have been transmitted to DCC by CMS Central Office and the Medicare contractor has acknowledged and verified the validity and accuracy of the debts transmitted. (b) Not Eligible for Referral, the number and dollar amount is equal to the sum of lines (1) through (12) of this section. 1) Bankruptcy; 2) Appeal; 3) Department of Justice/Litigation; 4) Fraud and Abuse Investigation, if the contractor has received specific instructions from the investigating unit (i.e., Office of Inspector General or Office of General Counsel, etc.) not to attempt collection; 5) Deceased Debtor, debts where the debtor is deceased and the estate is closed; 6) Debts less than $25; 7) Federal Entity Debts, MSP only, where the only entity which received the last demand letter is the employer and the employer is a Federal agency; 8) Beneficiary Debts, Non-MSP only; 9) Pending Request for Waiver or Compromise; 10) CMS Identified Exclusions, MSP only, debts where CMS has identified a specific debt or group of debtors as excluded from DCIA referral. 11) Other Exclusions, must footnote. 12) In the Process of Internal Offset (Previously Under Medicare Modernization Act, Section 935 Appeal). (c) Eligible for Referral, debts that are eligible for referral to the Department of the Treasury for cross servicing but not yet referred.
Medicare Financial Management Manual (Pub. 100-06), Ch. 5 § 270.19: Line 4, Status of Delinquent Receivables, greater than 180 Days | Justis AI