ABSTRACT
Under Medicare, providers that are part of a chain can be reimbursed for an allocable portion of allowable home office costs. Before a provider can be reimbursed for these costs, however, a home office cost statement must be submitted to the providers' fiscal intermediary. The statement provides a means of allocating certain home office costs to the provider components of a system so that providers can be reimbursed directly for these costs. The home office cost statement also offers a useful financial overview of the home office's operations in relation to the system's overall operations.
Subject(s)
Delivery of Health Care, Integrated/economics , Financial Audit , Insurance, Health, Reimbursement , Medicare/organization & administration , Centers for Medicare and Medicaid Services, U.S. , Cost Allocation , Delivery of Health Care, Integrated/organization & administration , Documentation , Forms and Records Control , United StatesABSTRACT
As the debate over healthcare reform continues, the controversy concerning "any willing provider" laws also continues. "Any willing provider" laws require a healthcare insurer (or managed care organization) to establish criteria that a provider must meet in order to participate as a network provider. Such laws prohibit an insurer from denying any provider willing to meet those criteria from participating as a network provider. Proponents of any willing provider laws cite the recent decision by the U.S. Supreme Court not to review a lower court ruling finding in favor of a hospital as validation of such laws.