24828d2e_Compliance_Audits__Answer
[Reference Number] 26 [Topic] Direct vs. Non-Direct [Question] Re:Foreign Insured Patients - Where does the responsibility ultimately lie for assessing the surcharge?In other words, if the hospital fails to list the surcharge on the UB form, is the TPA responsible for charging the international insurer? [Answer] 
The hospital is not obligated to segregate the surcharge on the bill. Direct payors are obligated to remit the surcharge directly to the Public Goods Pool. For non-electors, the hospital is obligated to remit the surcharge on revenues collected. The above three responses apply to all claims not just foreign insured patients.
Compliance Audits