tci Part B Insider - 2013 Issue 26

Physician Notes: CMS 'Regrets Inconvenience' of Erroneously Requesting Overpayments

Plus: CMS clarifies rules for opting out of Medicare. Your physician treated a patient, you submitted a bill to Medicare, collected your payment, and that was that—until CMS sent you a letter demanding a refund since its records indicated you were treating a patient who was incarcerated on the date of service. If you’re one of the practices that faced this puzzling dilemma, CMS is now backtracking, admitting that it misidentified “a large number” of services that it had classified as involving incarcerated beneficiaries. In some of these cases, CMS had requested a refund from you...

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