As addressed in the first installment of this three-part series, healthcare providers face potential audits from an increasing number of Medicare and Medicaid contractors. Failing to.
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 initial article on this subject discussed generally why Medicare providers need to understand the Medicare administrative appeals process, especially in connection with overpayment.