Duplicate Payment Received by Provider, Physician, or Other Supplier

30.4 – Duplicate Payment Received by Provider, Physician, or Other Supplier (Rev. 12438; Issued: 01-04-24; Effective: 02-06-24; Implementation: 02-06-24) If a Medicare payment duplicates a WC payment, the MSP contactor recovers the Medicare payment from the provider, physician, or other suppliers in accordance with the Medicare Secondary Payer Manual, Chapter 3, § 10.4. In any case, in which a primary payment is received from Medicare and from a third party payer, Medicare must be reimbursed within sixty (60) calendar days of receipt of the duplicate payment pursuant to the provisions of 42 CFR § 489.20(h) Recovery of conditional payments is not subject to the reopening rules nor to the limitation on recovering incorrect Medicare payments discovered later than three years after the WC plan has become the primary payer. (See SSA § 1862(b) (2) (B) (iii)).