tci Part B Insider - 2013 Issue 25

Billing: Brush up on Overpayment Policies Now That CMS Has 5 Years to Request Refunds

Keeping overpayments can get you in hot water with patients, payers, and the law. If you haven’t dealt with payer overpayments yet, it’s only a matter of time. In January, CMS extended the government’s statute of limitations for collecting overpayments from your practice. While CMS previously had a three year limit on requesting refunds, it now has a full five years (see the Insider, Vol. 14, no. 3 for more information). Therefore, you should ensure that you have a firm policy in place for returning overpayments and be ready for such requests. Overpayments happen for a...

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