Credit Balances and Government Overpayments

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On February 12, 2016, the Centers for Medicare & Medicaid Services (CMS) released the Medicare Program; Reporting and Returning of Overpayments Final Rule (Final Rule) governing the investigation, identification, refunding, and reporting of Medicare Parts A and B overpayments. The Final Rule provided much-needed detail and clarity to Parts A and B associated obligations created by its statutory counterparty, Section 6402(a) of the Affordable Care Act (ACA).

The article recaps the Final Rule and shares how healthcare organizations can proactively handle credit balances and potential overpayments.

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