Claims Review During the Payment Suspension Period

8.3.2.3 – Claims Review During the Payment Suspension Period (Rev. 670, Issued: 08-19-16, Effective: 11-23-16, Implementation: 11-23-16) A payment suspension does not stop submitted claims from processing. A payment suspension only stops the claim payments from being released to the provider. These claim payments will be withheld in an account (which does not accrue any interest) for the purpose of applying the withheld funds to any potential overpayment(s) or other debts owed to CMS or HHS in accordance with 42 CFR §405.372(e). (This withholding of Medicare payments is for everything payable and releasable to the provider. It also includes adjustments to claims that would result in payments being released to the provider, RAPs, etc.) If a claim is submitted for payment and is partially or fully denied, the provider is afforded appeal rights to those denials.