Medicare Financial Management Manual (Pub. 100-06), Ch. 4 § 20.1

Number of Demand Letters

Last amended: 2019Year: 2019Length: 171 wordsOfficial source
20.1 - Number of Demand Letters (Rev. 316, Issued: 05-24-19, Effective: 10-01-19, Implementation: 10-07-19) In general, the contractor sends one overpayment Initial (1st) demand letter to a provider or supplier. The contractor shall have at all times access to copies of the demand letters generally housed in the case file, bulk PDF, or in HIGLAS. When the demand letter has been sent and returned as undeliverable, the contractor shall attempt to locate the provider or supplier (see Chapter 4, §10). If the contractor is unable to locate the provider or supplier and the overpayment is eligible for referral to the Department of Treasury, the contractor shall immediately send the ITR demand letter, which shall include the intent to refer language. Where a repayment schedule has been established after the Initial (1st) demand letter has been sent and the provider or supplier defaults on the repayment schedule, the contractor shall count that 1st demand letter as one of the two letters (1st and ITR) normally sent to an overpaid provider or supplier.
Medicare Financial Management Manual (Pub. 100-06), Ch. 4 § 20.1: Number of Demand Letters | Justis AI