Tier II Industry Director’s Directive on the Planning and Examination of Contractual Allowance Issues in the Healthcare Industry #2
LMSB Control No: LMSB-4-0909-036
Impacted IRM 4.51.2
September 15, 2009
|MEMORANDUM FOR||INDUSTRY DIRECTORS
DIRECTOR, FIELD SPECIALISTS
DIRECTOR, PREFILING AND TECHNICAL GUIDANCE
DIRECTOR, INTERNATIONAL COMPLIANCE STRATEGY AND POLICY
|FROM:||Sergio E. Arellano /s/ Sergio Arellano
Retailers, Food, Pharmaceuticals, and Healthcare
|SUBJECT:||Tier II Industry Director’s Directive on the Planning and Examination of Contractual Allowance Issues in the Healthcare Industry #2|
Change in Status
The Contractual Allowance Tier II Issue has been moved from an active to monitoring status. We will continue to monitor the issue using the examination guidance provided below.
Field personnel now have guidance under the Technical Advice Memorandum (TAM 200619020) released on May 12, 2006 and Industry Director Directive #1 issued September 10, 2007.
When examining the issue, examiners should continue to use the UIL and SAIN codes as listed in IDD#1.
Issue guidance and support will continue through the LMSB Healthcare Technical Advisors.
For questions regarding contractual allowances, please contact:
Healthcare TA: John Tucker (615) 250-5194
Healthcare TA: Danny Zink (615) 250-5195
This directive is not an official pronouncement of law and cannot be used, cited or relied upon as such.
cc: Commissioner, LMSB
Deputy Commissioner, Operations
Deputy Commissioner, International
Division Counsel, LMSB
Directors, Field Operations
Director, Planning, Quality, Analysis & Support
Director, Research & Workload Identification