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Who Pays Hospital Costs for Patients in Police Custody?

Dom Nicastro, for HealthLeaders Media, January 30, 2013

"The C-Suite may not realize this is going on and has become an issue," says Hoy. "The point-of-care staff may not realize it's an issue either. This can be a lot of money. From the C-Suite standpoint, I think they need to have a dialogue with their local and state authorities and clear contracts for when they will and won't pay."

"I think that hospitals that are close to a prison already generally have this," says Hoy, "but other hospitals don't always think of it because it's not your every-day thing that occurs. But when it does, they are really going to be stuck if they haven't met and negotiated with the city and county and/or jail authorities in advance."

The OIG also announced January 24 that CMS made payments totaling $91.6 million to healthcare providers for services to approximately 2,600 unlawfully present beneficiaries during calendar years 2009 through 2011.

CMS, in a statement released to HealthLeaders Media, said that "for cases where Medicare is informed of patients' unlawful presence after claims have been paid, we are working with OIG to implement a process for quickly and completely recouping these improper payments."

Dom Nicastro is a contributing writer. He edits the Medical Records Briefings newsletter and manages the HIPAA Update Blog.
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1 comments on "Who Pays Hospital Costs for Patients in Police Custody?"

Gayla Hunt (10/27/2014 at 5:15 AM)
Is there someone I could ask some questions about this. My father has no medicare coverage due to his medicare being billed while he was incarserated 2000-2002. They say he has to pay back. He is very ill now an I need help please. Dont know where to start.