Withholds and Suspensions

40 – Withholds and Suspensions (Rev. 29, 01-02-04) In accordance with regulations (42 CFR §405.370), recoupment and suspension are defined as: Recoupment- The recovery by Medicare of any outstanding Medicare debt by reducing present or future Medicare payments and applying the amount withheld to the indebtedness. Suspension of Payment- The withholding of payment by an intermediary or carrier from a provider of an approved Medicare payment amount before a determination of the amount of the overpayment exists.