Large voluntary overpayments will trigger audits, HCFA announces

Article Overview

This article covers a HCFA policy change affecting voluntary refunds of Medicare overpayments and the audit response that may follow when a refund is large enough or raises concern. It is relevant to physicians, billing staff, compliance teams, and health care attorneys who handle Medicare repayment issues, carrier inquiries, and program safeguard activity. The article also summarizes the types of questions carrier officials may ask after receiving a large refund and discusses concerns about the policy’s effect on provider behavior.