May 22, 2015
Attention Ohio Providers – Recoupment of Payment for Routine Services
As a result of recent legislation, CMS notified contractors to adjust claims that were paid at the 21.7 percent reduction rate. Routine services submitted with dates of service April 1, 2015 to April 9, 2015, that were correctly denied were included in the mass adjustment and paid in error.
No provider action is required. CGS will be adjusting all claims affected so that a corrected remittance notice is issued. This automatic adjustment will result in overpayments for services paid incorrectly.
We apologize for the inconvenience this causes you.

