Medicare Overpayment Collection Process

Need information on the Medicare Overpayment Collection Process?

A 3-page fact sheet was developed by the Centers for Medicare and Medicaid Services highlighting the following information about the collection of Medicare physician and supplier overpayments:

• Definition of an overpayment and why the overpayment occurs:
• Duplicate submission of the same service or claim
• Payment to the incorrect payee
• Payment for excluded or medically unnecessary services
• A pattern of furnishing and billing for excessive or non-covered services.
• The Overpayment Collection Process
• The recovery process is used when Medicare discovers an overpayment of $10 or more
• Steps in the Overpayment Collection Process include:
• Demand Letters
• Repayment Plans
• Rebuttals
• Appeals
• Additional Medicare Resources and links

To view and download the fact sheet, please go to the following link: Medicare Overpayment Collection Process (PDF)

For additional resources, please click the following link: Medical Reimbursement, Inc. Resources