tci Medicare Compliance & Reimbursement - 2022 Issue Q3

Industry Notes: Know These MAC Facts on Accelerated Payment Recoupment

If you intend to submit a debt dispute over COVID-19 Accelerated and Advance Payment (CAAP) recoupment, one Medicare Administrative Contractor (MAC) has some fresh guidance to review. Details: On Aug. 11, Part B MAC Palmetto GBA updated its CAAP guidance with a reminder about debt disputes and how the Centers for Medicare & Medicaid Services (CMS) was dealing with payment recoupment. “In March of 2021, CMS began recouping outstanding CAAP balances, one year from the date on which a provider or supplier received their CAAP,” notes Palmetto. “Starting late August 2022, any outstanding CAAP balances shall...

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