Tag Archives: Recoupment

Final Rule Outlining Recoupment Limitations and the Impact on Ongoing Medicare Overpayment Appeals Cases

Last September, the Centers for Medicare and Medicaid Services (CMS) published its Final Rule addressing limitations on the recoupment of alleged overpayments by its Medicare contractors (e.g. Medicare Administrative Contractors and Qualified Independent Contractors). This Final Rule finalizes how Medicare … Continue reading

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Look at RACs – Part III: What Should Physicians and other Medicare Providers Know about Appeals and Recoupment?

(July 2, 2010): CMS' Recovery Audit Contractor (RAC) program is now permanent and nationwide. As we discussed in Part I of this series, while small providers were largely ignored during the demonstration program, physicians, home health, hospice, and durable medical … Continue reading

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Recoupment, Extended Repayment and Appeal Strategies in "Big-Box" Cases – How Your Decisions at Earlier Levels of Appeal can Adversely Affect Your Case at the ALJ Level of Appeal

(December 3, 2010): In recent years, Medicare Administrative Contractors (MACs) have become much more likely to initiate recoupment of alleged overpayments in connection with post-payment audits as soon as they are permitted to do so. The purpose of this article … Continue reading

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