Medicare Program Integrity Manual (Pub. 100-08), Ch. 12 § 12.12

Voluntary Refunds

Last amended: 2018Year: 2018Length: 96 wordsOfficial source
12.12 – Voluntary Refunds (Rev. 852; Issued: 12-21-18; Effective: 1-24-19; Implementation: 1-24-19) This section applies to Medicare Administrative Contractors (MACs) and Comprehensive Error Rate Testing (CERT) as indicated. If the MAC receives a voluntary refund from a provider or supplier on a CERT sampled claim, the MAC shall process the voluntary refund normally, as instructed in other manuals. If the MAC processes the voluntary refund of a CERT sampled claim after receiving the transaction file for the claim in question, the MAC shall complete the feedback file as though the voluntary refund had not been received.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 12 § 12.12: Voluntary Refunds | Justis AI