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August 28, 2012

Voluntary Refunds: How They Are Applied

As a provider of Medicare services, whenever you identify a Medicare overpayment, you are obliged to bring the overpayment to Medicare's attention. You may voluntarily refund the overpayment by submitting a check for the overpaid amount along with an explanation of what created the overpayment. To assist you in this process, we have created the Overpayment FormPDF.

Once we receive your refund check and documentation, we will review the documentation and correct the account history.

  • If the amount refunded is determined to be the accurate amount, the funds are posted to the requested account(s) and the process is complete.
  • However, if it is determined that additional funds are due to Medicare, we will create an Account Receivable and issue an overpayment request (demand) letter to pursue the additional funds.
  • Please note: if your voluntary refund check exceeds the amount that is determined to actually be due to Medicare, we will apply the remaining excess funds to any open Account Receivable or offset request currently outstanding for your TIN/ EIN. If there are no open Accounts Receivables for your TIN/ EIN, we will refund the excess amount to you.

For more information on the Overpayment Recovery process, visit our Frequently Asked Questions (FAQ) page and click on the links for Overpayment Recovery.

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