Overpayment Recovery Effort

Recent data analysis, conducted by National Government Services’ Operational Units, identified Medicare overpayments were made to provider and supplier organizations in prior years. National Government Services began notifying all impacted providers/suppliers in November 2009. The provider/supplier notification provides demand letter(s) for any debts owed to the Medicare program, pursuant to the Medicare requirements of participation and rules regarding Medicare overpayment guidelines as described in the Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) Publication 100-06, Medicare Financial Management Manual, Chapter 3, Overpayments.  (890 KB)

If your organization receives an overpayment recovery demand letter from National Government Services, please be prepared to respond accordingly. Please be aware that if you have more than one overpayment, you may receive more than one demand letter in an envelope. If you have questions, please contact the National Government Services Provider Contact Center.

Due to the nature of these overpayments, an extended repayment plan (ERP) may be a viable option for you. If you believe you meet this criteria, please submit the required documentation outlined in the Extended Repayment Plan Request Form.  This document provides you all necessary mailing information.

As with other Medicare overpayments, you have the option to remit your payment:

• to the address in the overpayment demand letter you receive; or
• complete the Overpayment Recovery Unit Part B Carrier Offset Request Form to begin immediate offset of the debt.

If you elect the immediate offset option, remember that outstanding claim payments due you will be withheld until the total overpayment balance including interest has been satisfied.

If you disagree with the overpayment determination you receive, you may request an appeal.

This entry was posted on Wednesday, March 31st, 2010 at 10:19 am and is filed under MEDICARE UPDATES. You can follow any responses to this entry through the RSS 2.0 feed. Responses are currently closed, but you can trackback from your own site.