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Providers that receive overpayment determinations should be aware of the various available options to be able to make good strategic decisions such as halting recoupment. Providers are under an obligation to report and refund any overpayment it identifies within 60 days.
The Medicare appeals process starts well before the first level listed above when a provider receives a medical records request, also known as an additional records request. These requests can come from different Medicare contractors, for example, a MAC or a UPIC.