In mid-2013, the Centers for Medicare & Medicaid Services (CMS) initiated recovery of payments from physicians, other health care providers and suppliers based on data that indicated a beneficiary was incarcerated or in custody on the date of service. Claims that were incorrectly demanded or collected were subsequently identified, and CMS began working with Medicare payers to properly refund incorrect amounts erroneously collected.
National Government Services (NGS) recently announced it has begun to process refund checks for incarcerated beneficiaries and will be disbursing them soon.
What to Expect
- Refund checks will be sent alone.
- A letter and spreadsheet explaining which accounts receivable (AR) were involved will follow within a few days of the check disbursement.
- Use the letter and spreadsheet to satisfy outstanding debts due to this issue.
- Verify and compare all information in your books against the spreadsheet. (Be sure to verify and compare old overpay requests received.)
Due to the high-volume impact of this issue, NGS has requested that providers complete the above steps and have their information organized before calling the Provider Contact Center with questions. Use the links below to reach the correct Provider Contact Center.
Detailed information regarding the incarcerated beneficiary claims issue can be found in the August 29, 2013, and December 5, 2013, issues of Medigram. Additional information also is available on the CMS website.
Back to March 27, 2014 Medigram