Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 200.2
Requirements for All Initial Demand Letters (Manual or
200.2 - Requirements for All Initial Demand Letters (Manual or
Electronic)
(Rev. 293; Issued: 09-14-17, Effective: 04-02-18, Implementation: 04-02-18)
Contractors shall issue demand letters for all overpayments subject to the limitation on
recoupment protections. Refer to Publication 100.6, Chapter 4, § 20 and §20.1 for the
935 demand letter template. In addition to the requirements listed in Chapter 3 & 4, on
Initial Demand Letters (excluding Cost Report Demand Letters) the following are
specific requirements for overpayments subject to the Limitation on recoupment
protections:
Contractors shall:
1. Include a claim level detail report of the claim adjustments (AR’s) that comprise the
overpayment along
with each demand letter to each provider.
2. Use the language in the letter templates in chapter 4, § 20.1 for Overpayments subject to
the limitation on recoupment protections.
• HIGLAS users shall select the appropriate system generated letters
listed in Chapter 4, §20 and §20.1
• Non-HIGLAS users shall use the template for the 935 Initial Demand Letter
• Use the 935 Initial Demand Letter Template for manual letters.
• Contractors shall use the paragraph under (RAC Demand Letter Language
only) in the
935 Initial Demand letter for RAC overpayments subject to 935 in chapter 4, §20
and 20.1.
3. Scan or copy all letters in the internal system for non-HIGLAS users and HIGLAS
users shall use the Tool (Paper Clip) to ensure the availability to obtain a copy of manual
letters as needed.
4. Send the demand letter by first-class mail.
200.2.1 – 935 Initial Demand Letter
(Rev. 293; Issued: 09-14-17, Effective: 04-02-18, Implementation: 04-02-18)
Refer to Publication 100.6, Chapter 4, Debt Collections, § 20.1