Home Health & Hospice Week

Industry Notes:

Get The Skinny On Medicare Recoupment Procedures

Educating your billing staff on how recoupment requests of Medicare overpayments are handled and how your MAC can come grab back your reimbursement are essential.

Details: The Centers for Medicare & Medicaid Services has updated its Limitation on Recoupment of Medicare Overpayments guidance in CR 11808. CMS advises that all staff know that Medicare recoupment of overpayments is limited to the first and second levels of appeals only.

Also: The transmittal reviews the timeline for the recoupment process as well as when to request either an extended repayment plan (ERS) or immediate recoupment. And it outlines how interest is calculated and paid for overpayments.

CR 11808 is effective as of July 1, 2024, but don’t delay educating your staff on the update. Review the MLN Matters release at www.cms.gov/files/document/mm11808-limitation-recoupment-medicare-overpayments.pdf.

Other Articles in this issue of

Home Health & Hospice Week

View All