[Code of Federal Regulations]
[Title 42, Volume 2]
[Revised as of October 1, 2002]
From the U.S. Government Printing Office via GPO Access
[CITE: 42CFR413.178]

[Page 605]
 
                         TITLE 42--PUBLIC HEALTH
 
                             HUMAN SERVICES
 
PART 413--PRINCIPLES OF REASONABLE COST REIMBURSEMENT; PAYMENT FOR END-STAGE RENAL DISEASE SERVICES; PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING 
FACILITIES--Table of Contents
 
Subpart H--Payment for End-Stage Renal Disease (ESRD) Services and Organ 
                            Procurement Costs
 
Sec. 413.178  Bad debts.

    (a) CMS will reimburse each facility its allowable Medicare bad 
debts, as defined in Sec. 413.80(b), up to the facility's costs, as 
determined under Medicare principles, in a single lump sum payment at 
the end of the facility's cost reporting period.
    (b) A facility must attempt to collect deductible and coinsurance 
amounts owed by beneficiaries before requesting reimbursement from CMS 
for uncollectible amounts. Section 413.80 specifies the collection 
efforts facilities must make.
    (c) A facility must request payment for uncollectible deductible and 
coinsurance amounts owed by beneficiaries by submitting an itemized list 
that specifically enumerates all uncollectable amounts related to 
covered services under the composite rate.