tci Medicare Compliance & Reimbursement - 2021 Issue Q3

Industry Notes: Make Sure to Send Your MAC the Right Credit Balance Form

If you need to return a payment to Medicare, check that you are using the most updated version of the credit balance report. That’s the word from First Coast Service Options Inc. (FCSO) in a reminder to providers on submitting their quarterly credit balance forms. The Part B MAC urges practitioners to use the most up-to-date CMS-838 and follow the “block-by block instruction” on the report, advises an FCSO notice. Reminder: When a patient billing or claims processing error generates an improper payment, the amount must be refunded to Medicare — and the CMS-838 is used in...

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