tci Part B Insider - 2004 Issue 8

Appeals: They Can't Collect Until They Make Their Case

But will carriers let your appeals keep running up the flagpole?In the past, the carriers have held all the cards when it came to appeals of alleged overpayments. You had to pay up and hope to get your money back if you won, or watch the carrier take the money out of your future reimbursement. But the Medicare Prescription Drug, Improvement and Modernization Act (DIMA), passed late last year, says that carriers won't be able to collect overpayments until they win and you give up. This changes the balance of power in your favor, say attorneys, and...

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