Mountain States Health Alliance v. Sebelius

MEMORANDUM OPINION

RANDOLPH D. MOSS, United States District Judge

Under the governing regulations, a Medicare provider is entitled to reimburse ment for unpaid deductibles and copay-ments — referred to as “Medicare bad debt” — but only if certain requirements are met. Among other things, the regulations require that the provider establish that it has engaged in “reasonable collection efforts” before declaring a debt uncol-lectible. 42 C.F.R. § 413.89(e). That requirement is further explicated in section 310 of the Provider Reimbursement Manual, which specifies that, in order to qualify as a…