The Centers for Medicare and Medicaid Services (CMS) has released the Patient Assessment Instrument (PAI) Training Manual V1.4. Section 4 provides updates to Sections GG, J, and O that will be required beginning October 1, 2016. To access the training manual, click HERE and scroll down to the Downloads Section.
Occasionally, providers of therapy services may receive an overpayment from the Medicare program for which they are not entitled to keep. Providers may not know of this overpayment until they receive notice from their Medicare Administrative Contractor. There are also times when the provider of therapy services may be the one who notices the overpayment. In either instance, what must the provider do? In this article, I will answer the following questions:
- Why do overpayments occur?
- What is an overpayment?
- What is my responsibility if I realize I have received an overpayment?
- What is the collection process for my Medicare Administrative Contractor to recoup the overpayment?
- What are my options if I receive a demand letter?
- What are my payment options?
- Can I stop the Medicare Administrative Contractor from recouping the overpayment?