Federal (United States) · Agency guidance
Chapter 3
135 sections
135 sections
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 10Overpayments Determined by the FI or Carrier
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 10.1Aggregate Overpayments
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 10.2Individual Overpayments
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 20Recovery of Cost Report Overpayments- Cost Report Filed
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 20.1Part A Provider is Participating in Medicare and Medicaid
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 20.2Provider is No Longer Participating in Medicare and Not Participating in
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 20.3Provider is No Longer Participating in Medicare But Is Participating in
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 30Recovery of Cost Report Overpayments - Overdue Cost Report
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 30.1Provider is Participating in Medicare and Medicaid
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 30.3Provider is No Longer Participating in Medicare But is Participating in
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 40Recovery of Claims Accounts Receivables from the Provider - FI
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 40.1Demand Letter Contents
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 40.2Sample Demand Letter for Claims Accounts Receivables
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 50Recovery of Overpayments When a Provider Changes Its FI- FI Only
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 50.1Action By Outgoing Contractor
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 50.2Action by Incoming FI
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 60Interim Rate Adjustments and Periodic Interim Payment Adjustments – FI only
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 70Determining Liability and Waiver of Recovery for Overpayments
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 80Individual Overpayments Discovered Subsequent to the Fifth Year
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 80.1How to Determine the Fifth Calendar Year after the Year the Payment Was
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 80.2Recovery of Overpayment Due to Overdue Cost Report
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 90Provider, Physician, or Other Supplier Liability
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 90.1Examples of Situations in Which Provider, Physician, or Other Supplier
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 90.2Provider, Physician, or Other Supplier Protests Its Liability
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 100Beneficiary Liability
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 110Recovery Where the Beneficiary Is Liable for the Overpayment
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 110.1Recovery Where the Beneficiary Is Covered Under Medicaid or
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 110.2Recovery From the Beneficiary
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 110.3When to Suspend Efforts to Recover From the Beneficiary Following
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 110.4Content of Demand Letter to Beneficiary
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 110.5Sample Demand Letter to Beneficiary
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 110.6Optional Paragraphs for Inclusion in Demand Letters
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 110.7Recovery Where Beneficiary Is Deceased
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 110.8Beneficiary Wishes to Refund in Installments
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 110.9Beneficiary Protests
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 110.10When the Contractor Does Not Take Recovery Action in Beneficiary
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 110.11Recording Overpayment Cases in Which the Provider is Not Liable— Part
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 120Reserved for Future
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 130Impact of Change of Ownership (CHOW) on the Overpayments and Debt
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 130.1Impact of Change of Ownership and Assignment of Medicare Provider
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 130.2The Contractors Contact Only the Owner of Record
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 130.3Effect of New Owner’s Rejection of Assignment of the Medicare Provider
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140Bankruptcy
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.1Bankruptcy Forms
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.2Basic Bankruptcy Terms and Definitions
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.2.1Bankruptcy is Litigation
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.2.2Types of Bankruptcies
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.2.3Filing Bankruptcy Draws a Line in the Sand
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.2.4Bankruptcy Affects Nearly All Medicare Operations
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.2.5Recoupment and Set-off (see also §140.6.4)
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.2.6Time is of the Essence -
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.3Contractors Establishment of Relationships to Ensure Effective Actions
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.3.1Contractor Staff Must Establish Relationships to Ensure That the CMS
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.3.2Contractors Must Recognize and Advise CMS Staff About Potential
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.3.3Contractor Staff will Establish a Relationship with the CMS Office that has
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.3.4The CMS Office Jurisdiction Generally Parallels the Bankruptcy Court
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.3.5Contractor and the CMS Office Bankruptcy Point of Contact Staff Member
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.4Actions to Take When a Provider Files for Bankruptcy
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.4.1Establish Effective Lines of Communications
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.4.2Respond to the CMS Office Requests for Information
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.4.3Immediate Contractor Directives from the CMS Office
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.4.4Tracking Debts/CMS Communications
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.5Chain Bankruptcies
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.5.1Chain Providers
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.5.2Single Provider Serviced by a Contractor
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.6Affirmative Recovery Actions
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.6.1Working With the CMS Office and CMS Counsel
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.6.2Assumption of the Medicare Provider Agreement
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.6.3Settlement Agreements or Stipulations
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.6.4Recoupment
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.6.5Administrative Freeze/Set-off
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.7Preparing and Filing Proof of Claim
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.8Reserved for Future Use
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.8.1Reserved for Future Use
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.8.2Debt Located at the Department of Treasury
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.8.3Managing Bankruptcy Debt at the Contractor
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.8.4Closure of Bankruptcy Cases and Treatment of Overpayment Reporting
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 150ACCELERATED PAYMENTS- FI ONLY
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 150.1Eligibility for Accelerated Payment
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 150.2Computation of the Accelerated Payment
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 150.3Recoupment of the Accelerated Payment
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 160Debt Close-Out
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 160.1Reserved for Future Use
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 160.2Reserved for Future Use
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 170General Overpayment Provisions
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 170.1Offset of Overpayments Against Other Benefits Due – FI
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 170.2When the Carrier Does Not Attempt Recovery Action
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 170.3Information and Help Obtainable from the Social Security Office (SSO)
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 170.4Recovery Where Physician or Other Individual Practitioner Is Deceased -
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 170.5Provider Offers to Settle on Compromise Basis
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 170.6Unsolicited Overpayment Refunds
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 170.7Timely Deposit of Overpayment Refund Checks
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 170.8Informal Referral to RO
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 180Reserved
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 190Collection of Fee-for-Service Payments Made During Periods of Medicare
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 200of the Medicare Modernization Act (MMA) - Limitation on
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 200.1Limitation on Recoupment Section 935 (f)(2) Eligibility
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 200.1.1Overpayments Subject to Limitation on Recoupment
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 200.1.2Overpayments Not Subject to Limitation on Recoupment
- Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 200.1.3Adjustment of the Fee-For-Service Claims