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.
