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Author Question: When a healthcare provider is overpaid by Medicare, what should the provider do? (Read 341 times)

kshipps

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on: Mar 29, 2019

Question 1

Payers are allowed to do which of the following in order to process a claim for payment?


◦ Request additional information to verify whether or not the service is covered.
◦ Call the patient directly.
◦ Reassign the ICD-10-CM/PCS codes on the claim form.
◦ Take as long as they need to process the claim.

Question 2

When a healthcare provider is overpaid by Medicare, what should the provider do?


◦ Refund any payments made by the patient.
◦ Report the overpayment to Medicare.
◦ Deposit the money in a special account in case Medicare requests a refund.
◦ Wait 60 days to see if Medicare requests a refund.
ICD-10-CM/PCS Coding: A Map for Success ¦ Papazian-Boye ¦ 1st Edition
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Marked as best answer by kshipps on Mar 29, 2019

stallen

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Reply #1 on: Mar 29, 2019
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kshipps

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Reply #2 on: Mar 29, 2019
Thank you!


stallen

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Reply #3 on: Mar 29, 2019
Always glad to help...


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