Becker's Healthcare February 16, 2023
Tony Mira, CEO of Anesthesia Business Consultants, laid out the responsibilities of Medicare overpayments in a Feb. 8 blog post.
A provider has 60 days to refund an overpayment if it has been identified by the provider or billing agent. An identification includes the time necessary to investigate, confirm and quantify the amount of the repayment. According to the 2016 Medicare Physician Fee Schedule, six months have been deemed a reasonable limit for this process, Mr. Mira wrote.
For self-identified overpayments, the provider is obligated to send that amount back to Medicare no matter the amount. They also must...