tci Medicare Compliance & Reimbursement - 2013 Issue 15

Billing: Stay Out Of Hot Water -- Develop Overpayment Policies

Check with your payer before returning overpayments. If you hope to remain compliant, you need to be ready to repay overpayments. Regardless of the reason for the overpayment, you’ll want to avoid the possible consequences of annoying payers and patients or even setting your practice up for fines and fraud allegations. The Centers for Medicare & Medicaid Services (CMS) which previously had a three year limit on requesting refunds, now has a full five years (see MedicareCompliance & Reimbursement, Vol. 39, No. 4 for more information) after extending the government’s statute of limitations for collecting overpayments from...

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