Rusak D, Emerson P
Healthc Financ Manage. 1988 Oct;42(10):44, 46, 48 passim.
The Health Care Financing Administration (HCFA) has informed hospitals that they can no longer bill or file liens against liability proceeds involving Medicare beneficiaries. HCFA also told providers that before they request conditional payment from Medicare, they must provide their fiscal intermediaries with complete information about any payments received from primary payers, or else reimburse Medicare for any overpayments. This article examines situations in which providers can be held liable for Medicare overpayment and explains how to lessen the facility's risk.
医疗保健财务管理局（HCFA）已通知医院，对于涉及医疗保险受益人的责任理赔款项，它们不能再开具账单或申请留置权。HCFA还告知医疗服务提供者，在他们向医疗保险机构申请有条件支付之前，必须向其财务中介提供从主要付款方收到的所有付款的完整信息，否则要向医疗保险机构偿还所有多付的款项。本文探讨了医疗服务提供者可能因医疗保险多付款项而承担责任的情况，并说明了如何降低医疗机构面临的风险。
