- Overpayment: How Should I Respond?
- Accelerated and Advanced Payment Program
- Complete a Voluntary Refund
- Bankruptcy Notifications
- Request an Immediate Recoupment
- Complete a Voluntary Refund
- Complete a Voluntary Refund
- How Should I Respond?
- Complete a Voluntary Refund
- Set Up an Extended Repayment Schedule
- Set Up an Extended Repayment Schedule
- Set Up an Extended Repayment Schedule
- MSP Post-Pay Overpayments
- Nettings/Offsets Across Organization Affiliations
- Payment Withholding Information
- Overpayment Rebuttal Process
- Overpayment Request
- MSP Post-Pay Adjustments
- MSP Post-Pay Adjustments
- MSP Post-Pay Adjustments
- Respond to a Demand Letter
- Refunds Due to Beneficiaries by Providers
- Request an Immediate Recoupment
- Set Up an Extended Repayment Schedule
- Submit a Quarterly Credit Balance Report
- Resources
Nettings/Offsets Across Organization Affiliations
Effective 1/4/2016, CMS implemented a change to begin netting/offsetting provider money across affiliated providers within the same and also across workloads within a single organization. This CMS change brings consistency to all Part B contractors regarding netting across organization affiliations.
Any related providers conducting business in two different workloads (example: New York and Maine) will have their money applied to any AR with a remaining balance owed to Medicare in all workload affiliations.
- For example: Provider ABC is located in New York and is scheduled to receive a payment of $1,000 on today’s remittance advice.
- Provider XYZ is related to provider ABC but is located in Maine and has ARs with a balance owed of $200.
- Provider ABC’s $1,000 payment will have the $200 applied against provider XYZ’s ARs resulting in a net payment of $800.
- This will be reflected on the remittance advice by the same PLB code as seen today for offsets for the $200.
Revised 6/8/2023
Resources
Form(s) you'll need:
Form(s) you'll need:
- Medicare Credit Balance Report Form and Instructions (CMS-838)
- Medicare Credit Balance Report (CMS-838) Excel Spreadsheet
- Jurisdiction 6 Part A Voluntary Refund Form
- Immediate Recoupment Request Form – Electronic/E-mail
- J6 Part A Immediate Recoupment Request Form
- J6 Applying for an Extended Repayment Schedule
- Jurisdiction 6 Medicare Part A MSP Overpayment Request Form
- Financial Contact Information Form
Form(s) you'll need:
- Medicare Credit Balance Report Form and Instructions (CMS-838)
- Medicare Credit Balance Report (CMS-838) Excel Spreadsheet
- Jurisdiction K Part A Voluntary Refund Form
- Immediate Recoupment Request Form – Electronic/E-mail
- JK Part A Immediate Recoupment Request Form
- JK Applying for an Extended Repayment Schedule
- Jurisdiction K Medicare Part A MSP Overpayment Request Form
- Financial Contact Information Form
Resources
Form(s) you'll need: