Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 10.1

Aggregate Overpayments

Last amended: 2004Year: 2004Length: 99 wordsOfficial source
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.
Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 10.1: Aggregate Overpayments | Justis AI