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October 29, 2019

Liver Transplant Claims: Possible Overpayment

Inpatient Part A claims for liver transplants processed after January 1, 2017, and before November 18, 2019, may be overpaid because Medicare Administrative Contractors (MACs) did not request medical records due to a system error. MACs will adjust these claims and request medical records.

Hospitals: It is important to provide the records. If records are not received, the claim will be considered overpaid, and the over payment will be recovered.

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