Medicare Claims Processing Manual (Pub. 100-04), Ch. 30 § 150.4

Time Limits for Making Refunds

Last amended: 2007Year: 2007Length: 135 wordsOfficial source
150.4 - Time Limits for Making Refunds (Rev. 1186, Issued: 02-23-07; Effective: 01-01-06; Implementation: 05-23-07) A refund of any amounts collected must be made to the beneficiary on a timely basis. Refund is considered to be on a timely basis only if made within the following time limits: • If the supplier does not request an appeal of the initial denial or reduction in payment within that time, the refund must be made to the beneficiary within 30 days after the date the supplier receives the remittance advice (RA). • If the supplier requests an appeal within 30 days of receipt of the notice of the initial determination, the refund must be made to the beneficiary within 15 days after the date the supplier receives the notice of the contractor’s determination of the supplier’s appeal.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 30 § 150.4: Time Limits for Making Refunds | Justis AI