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Author Question: When a healthcare provider is overpaid by Medicare, what should the provider do? (Read 271 times)

kshipps

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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.


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Marked as best answer by kshipps on Mar 29, 2019

stallen

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kshipps

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stallen

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