Thomas W. Coons

Thomas W. Coons

Ober|Kaler

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CMS Prevails in Dual Eligible Bad Debt Challenge

In a decision handed down on August 7, 2015, the United States Court of Appeals for the District of Columbia Circuit upheld the denial of the providers' bad debt claims associated with dual eligible beneficiaries. Grossmont...more

9/5/2015 - Appeals Bad Debt CMS Co-Insurance Payments Deductibles Dual Beneficiaries Filing Deadlines Hospitals Medi-Cal Medicaid Medicare Provider Reimbursement Manual

CMS's "At a Collection Agency" Bad Debt Policy - Confusion Continues

As we reported in previous Payment Matters articles, the United States District Court for the District of Columbia has issued inconsistent opinions regarding Medicare's policy not to allow bad debt when that bad debt is still...more

8/26/2015 - Appeals Bad Debt CMS Collection Agencies Health Care Providers Hospitals Medicare Split of Authority

Medicare Bad Debts and CMS's "At a Collection Agency Policy" - New Uncertainty

As reported in previous Payment Matters articles (6/11/08, 4/4/13 and 6/27/13), the United States District Court for the District of Columbia has ruled in two separate opinions that a Medicare contractor is not permitted to...more

8/12/2013 - Bad Debt CMS Collection Agencies Debt Medical Expenses Medicare

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