87edb5ec_Questions_and_Answers__Better_Practice
[0] Foreign Patient Payments [Potential Issue] Reviewee does not remit surcharge on foreign national or foreign government employee payments received Reviewee does not remit surcharges on revenue received for services provided to a foreign patient [Better Practice] 
Not all foreign national or foreign governmental employees are exempt from paying surcharges; ONLY foreign diplomatic missions covered by Vienna convention which are self-insured for purposes of providing health insurance coverage to their employees are considered exempt from HCRA surcharge If a foreign patient without insurance coverage receives services from a HCRA designated provider, the patient is assessable at the self-pay rate. Payments received directly from foreign governments are considered "unspecified payors" under HCRA and are not obligated to elect. Providers should assess the unspecified payor surcharge rate on their claims to foreign governments. Regardless, providers are obligated to remit the surcharge to the Pool. Payments received from foreign insurance companies are subject to the surcharge percentage based on their election status
Questions and Answers