tci Medicare Compliance & Reimbursement - 2013 Issue 16

Industry Notes

CMS ‘Regrets Inconvenience’ of Erroneously Requesting Overpayments Your physician treated a patient, you submitted a bill to Medicare, collected your payment, and that was that — until Centers for Medicare & Medicaid Services (CMS) sent you a letter demanding a refund since its records indicated you were treating a patient who was incarcerated on the date of service. If you’re one of the practices that faced this puzzling dilemma, CMS is now backtracking, admitting that it misidentified “a large number” of services that it had classified as involving incarcerated beneficiaries. In some of these cases, CMS...

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