Review of Medicare Bad Debts At The University of California, San Francisco Medical Center

The objective of our review of inpatient Medicare bad debts at the University of California, San Francisco Medical Center (the Hospital) was to determine if Medicare bad debts claimed by the Hospital were in compliance with the Medicare reimbursement criteria.  Our review focused on inpatient Medicare bad debts claimed by the Hospital totaling $2,993,138 during the Hospital's cost report period ending March 31, 2000.  Of the $2,993,138 bad debts claimed, a net amount of $2,432,883 did not meet the Medicare reimbursement requirements.  The Hospital concurred with our findings and recommendations.