Medicare Financial Management Manual (Pub. 100-06), Ch. 4 § 30.4
Procedures for Applying Interest During Overpayment Recoupment (Rev. 12346;
30.4 - Procedures for Applying Interest During Overpayment Recoupment (Rev. 12346;
Issued:11-01-23; Effective:10-30-23; Implementation:10-30-23)
A. General
If a provider is unable to satisfy the overpayment within 30 days from the date of final determination and
demand for repayment (§30.1), interest accrues on the unpaid principal balance and is due and payable for
each full 30-day period that an overpayment balance is outstanding. The contractor first applies any
payments received to the accrued interest charges and then to the overpayment principal. If the provider has
more than one overpayment outstanding and a payment is received, the contractor credits the payment to the
oldest overpayment first, unless the provider designates otherwise.
B. Recoupment Through Installment Payments
A provider is expected to repay any overpayment as quickly as possible. If a provider cannot refund the
total amount of the overpayment within 30 days after receiving the first demand letter, it should immediately
request an extended repayment plan. (See Chapter 4, §50 for extended repayment procedures.)
The interest rate to assess on overpayments repaid through an approved extended repayment plan is the rate
in effect for the quarter in which the final determination is issued to the provider.
Interest rates remain constant based upon the initial rate assessed unless the provider defaults, i.e., misses
one consecutive installment payment following a delinquent status of an extended repayment agreement.
Interest on the principal balance of the debt may be changed to the current prevailing rate if (a) the provider
has defaulted on its installment payments and (b) the current prevailing rate in effect on the date the
installment becomes overdue is higher than the rate specified in the agreement. (For FISS and APASS users
only.) Each payment is applied first to accrued interest and then to principal. After each payment interest
will accrue on the remaining unpaid principal balance.
C. Proof of Receipt
The U.S. Postal Service postmark date is controlling in determining the timely receipt of a cost report or
payment of an overpayment. Therefore, the contractor should retain all envelopes in order to have proof of
receipt. If a due date for any payment falls on a holiday or a weekend, the next working day is considered
the official due date for the purpose of applying accrued interest. (FISS and APASS users only.) CMS does
not accept dates imprinted by a provider’s meter postage machine as confirmation of the postmark date. In
these cases, the MAC should use the date the cost report or payment was received, and date stamped. If a
provider utilizes a commercial delivery service the date constituting a timely receipt is the date the
commercial delivery service signs and accepts the package. The date the cost report or payment is received
by the MAC controls if any other mailing service was used.