Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2006-D36
Case Name
Extendicare 99 Uncollect Co-In Dual Elig Group vs. BlueCross BlueShield Association/United Government Services, LLC - WI
Issue
Whether the Intermediary properly disallowed bad debts related to uncollectible deductibles and coinsurance arising from therapy services, paid under the Medicare Part B fee schedule, where the Medicare eligible patient was not in a covered Part A stay at the time therapy services were rendered and provided to patients that were dually eligible for Medicare and Medicaid (Qualified Medicare Beneficiaries or QMBs).