tci Medicare Compliance & Reimbursement - 2022 Issue Q3

Reader Questions: Understand the Rules on Extended Repayment Schedules

Question: Our practice made a significant billing error that resulted in a massive overpayment from Medicare. We recently heard about an option to extend our repayment beyond the usual timeline. How exactly does that process work? Answer: Even though the Centers for Medicare & Medicaid Services (CMS) is clear that overpayments must be paid as quickly as possible, the agency does have options for providers struggling with recoupment. Reminder: After your Medicare Administrative Contractor (MAC) verifies that you’ve been overpaid, the system generates a receivable and a demand letter is issued for your payment. You’re “given...

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