Medicare Overpayments

November 10, 2017

Overpayments are Medicare funds that you or a beneficiary has received in excess of the amount allowed payable under the Medicare statute and regulations.

Once a determination of an overpayment has been made, the amount of the overpayment is a debt owed to the United States Government via one of its Medicare contractors.

Voluntary Refunds

A voluntary/unsolicited refund may be made to a Medicare contractor when a provider has discovered an error, which resulted in an overpayment.

 

Solicited Refunds

When an overpayment is identified a claims adjustment will occur. This will create a receivable account which will issue a demand letter requesting repayment.

 

Appeal

If you disagree with a refund request, you may choose to appeal the notice of overpayment. An appeal rights statement will be included in the initial refund letter.

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