decisionhealth Newsletters, Part B News - 2005 Issue 8 (August)
Even small overpayments are best returned, CMS and OIG suggest
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Article Overview
This article covers general compliance and audit-response guidance for physician practices that discover billing overpayments, including how CMS and OIG perspectives may affect internal repayment decisions. It is aimed at coding, compliance, and practice management audiences that handle audit findings, overpayment returns, and corrective action processes.
Why This Topic Matters
It helps practices understand the broader compliance implications of audit findings and why repayment decisions should be handled consistently within a formal compliance framework.
Article Sections
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Overpayments discovered through audits
Discusses what practices may do when internal audits identify billing discrepancies and how repayment decisions are viewed in general terms.
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Follow your compliance plan – it’s more important
Explains the role of a compliance plan, periodic audits, and corrective action in managing billing and documentation issues over time.
What You Will Learn
- How overpayments found in audits are handled at a high level
- Why a compliance plan matters in audit response
- How internal audit results can be used to support corrective action
- The general role of CMS and OIG viewpoints in practice compliance
Who Should Read This
- Physician practices
- Coding professionals
- Compliance officers
- Practice managers
- Healthcare attorneys
- Medical auditors
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