tci Part B Insider - 2010 Issue 2

READER QUESTION: Understand Your Obligations for Overpayments

Can insurers deduct overpayments from your checks? Find out here. Question: Some insurers are deducting overpayments from our checks for visits or services rendered. Are payers allowed to do this, and do we really have to pay back overpayments? Answer: As a healthcare provider, you're legally obligated to repay overpayments when you or the payer discovers the mistake. Due to the large number of claims a provider submits each month and the complex nature of payer regulations, overpayments are bound to happen. Your office should have a system for repaying overpayments, or at least include a credit balance report...

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