tci Medicare Compliance & Reimbursement - 2024 Issue Q3

Reader Questions: Get the Skinny on Medicare Overpayment Timeline

Question: We’ve heard that Centers for Medicare & Medicaid Services (CMS) says we should return any overpayments to federal health programs within 60 days. But with so many billing and compliance rules, we haven’t paid much attention to this one. What do we need to know about it? South Carolina Subscriber Answer: You are correct — CMS issued a rule in 2016 setting a 60-day limit on returning overpayments to federal agencies. (There was a proposal to change the language in 2023, but this was not adopted.) The important thing to remember is that while the...

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