Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 10.1
Aggregate Overpayments
10.1 - Aggregate Overpayments
(Rev. 29, 01-02-04)
A. Stitutional Providers Serviced By Fis
Aggregate overpayments to providers (overpayments arising in other than individual cases) may occur
by:
• A pattern of furnishing and billing for excessive or noncovered services (see Program Integrity
Manual);
• Inclusion of non-allowable or excessive costs in the provider's cost report;
• Excessive interim payments made to the provider;
• Failure to repay accelerated payments;
• Failure to file cost reports (Chapter 3, §30);or
• Determination of amounts due upon filing the cost report, during desk review, final settlement
and reopening of the cost report.