The Centers for Medicare & Medicaid Services (“CMS”) has made changes to the Medicare Overpayment Notification Process. If an outstanding balance has not been resolved, providers previously received three notification letters regarding the overpayments: (1) an initial demand letter, (2) a follow-up letter, and then (3) an intent to refer letter. CMS would send the second demand letter to providers thirty days after the initial notification of an overpayment. Recent review has determined that this is not efficient since the majority of providers respond to the initial demand letter and pay the debt.
Effective November 1, 2011, the second demand letters are no longer being sent to providers. Provider appeal rights remain unchanged, and providers will continue to receive a letter explaining CMS’ intention to refer the debt to collection if the overpayment is not paid within ninety days of the initial letter.
Should you have any questions, please contact:
Todd Selby at 317.977.1440 or tselby@wp.hallrender.com;
Brian Jent at 317.977.1402 or bjent@wp.hallrender.com; or
David Bufford at 502.568.9368 or dbufford@wp.hallrender.com,
or your regular Hall Render attorney.
