tci General Surgery Coding Alert - 2021 Issue Q4

Reader Questions: Use CMS-838 For Return Payment

Question: How can we be sure we’re refunding the correct amount when a claims processing error generates an improper payment? Texas Subscriber Answer: When you’re returning a payment to Medicare, the key is to make sure you have the updated version of the credit balance report (CMS-838). Use the most up-to-date CMS-838 and follow the line-by-line instruction on the report. Additionally, “if your facility has more than one provider number, a separate report should be submitted for each provider number,” notes CGS Medicare in online guidance. “If you fail to submit a credit balance...

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