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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
Industry Director
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. 

Examination Guidance
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.

Contacts
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
      Chief, Appeals
      Directors, Field Operations
      Director, Planning, Quality, Analysis & Support
      Director, Research & Workload Identification

Page Last Reviewed or Updated: 2013-04-11