CMS backpedals on overpayments

Wednesday, July 24, 2013

BALTIMORE – CMS has backed off collecting overpayments for beneficiaries who may have received items or services while they were incarcerated, either in a facility or on supervised release. CMS had identified previously paid claims that contain dates of service that partially or fully overlap a period when the beneficiary was incarcerated based on information from the Social Security Administration (SSA). CMS has since learned that the information related to these periods of incarcerations was, in some cases, incomplete for its purposes. CMS will review the data to improve its processes for identifying periods of incarceration. In the meantime, providers should no longer encourage beneficiaries to contact their local SSA office to have their records updated. Also, they should no longer fax info to CMS’s regional offices. CMS is currently working to develop processes to resolve this issue.