Effect of Payment to Ineligible Recipient (Rev. 1, 10-01-03)

by  Find-A-Code
July 17th, 2015

An otherwise correct Medicare payment made to an ineligible recipient under an assignment or other authorization by the provider does not constitute a program overpayment. Sanctions may be invoked against a provider (see §30.2.15) to prevent it from executing or continuing in effect such an authorization in the future. Neither the provider nor the ineligible recipient is required to repay the Medicare payment.

Pub 100-04 Medicare Claims Processing Manual

References:

Effect of Payment to Ineligible Recipient (Rev. 1, 10-01-03). (2015, July 17). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/effect-of-payment-to-ineligible-recipient-rev-1-10-01-03-27255.html

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