Department of Health and Human Services

Office of Inspector General -- AUDIT

"Review of Medicare Bad Debts for Jackson Memorial Hospital for the Fiscal Year Ended September 30, 1999," (A-04-02-02015)

October 7, 2002

Complete Text of Report is available in PDF format (2.42 mb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.


This final report points out that of the $707,830 claimed for reimbursement as inpatient Medicare bad debts on Jacksonís Fiscal Year 1999 cost report, $157,179 did not comply with the Medicare reimbursement criteria and was therefore unallowable.  Many of the unallowable bad debts resulted from the hospitalís not making collection efforts on patients who were not indigent.  We also found instances of clerical errors, duplicate claims, and inadequate documentation to support that patient indigency determinations were made or that collection efforts were made on indigent patients.  We recommended that Jackson establish automated procedures and additional policies to improve their bad debt reporting practices.  We also recommended that the hospital file an amended cost report for FY 1999 and reduce allowable bad debts claimed by $157,179.