Whether the provider, Novitas Solutions, or
another entity identifies an overpayment, the overpaid funds must be
reimbursed to Novitas Solutions in one of the following ways:
A. Immediate Recoupment as a Means to Repay Medicare Debt - Part A and Part B
The
immediate recoupment process is for providers who have received an
overpayment demand letter and are actively billing Medicare. Immediate
recoupment is not an alternative for sending a voluntary refund to
Medicare.
You may elect to have your overpayment(s) repaid through the immediate recoupment process and avoid paying by check or waiting for the standard recoupment that begins automatically on day 41 from the date of the initial demand letter. A request for immediate recoupment must be received by Medicare in writing no later than 16 days from the date of the overpayment demand letter. You must specify whether you are submitting:
You may elect to have your overpayment(s) repaid through the immediate recoupment process and avoid paying by check or waiting for the standard recoupment that begins automatically on day 41 from the date of the initial demand letter. A request for immediate recoupment must be received by Medicare in writing no later than 16 days from the date of the overpayment demand letter. You must specify whether you are submitting:
1. A one-time request for all invoices included in the current overpayment demand letter and all future overpayments
2. A request for all invoices included in only the current overpayment demand letter received
The
immediate recoupment process is optional and for your convenience.
You may find savings in check printing and postage since you are
requesting to have your Medicare overpayment(s) withheld from your
future Medicare claim payments.
Any principal balance remaining after the initial immediate recoupment attempt will continue to accrue interest and continue in the recoupment process and other collection activities until the overpayment is satisfied. You may fax your immediate recoupment request directly to the following fax numbers:
Any principal balance remaining after the initial immediate recoupment attempt will continue to accrue interest and continue in the recoupment process and other collection activities until the overpayment is satisfied. You may fax your immediate recoupment request directly to the following fax numbers:
Part A fax line: (412) 802-1836
Part B PA/NJ/MD/DC/DE providers may fax to: (717)-728-8722
Part B AR/CO/LA/MS/NM/OK/TX providers may fax to: (717)-728-8728
As stated above, there are two immediate recoupment request options available:
3. A one-time request for all invoices included in the current overpayment demand letter and all future overpayments
4. A request for all invoices included in only the current overpayment demand letter received
Note:
If you select option 1 above, for future overpayments the immediate
recoupment process will automatically begin on day 16 from the demand
letter dates (assuming the provider has paying claims). The 16 day
timeframe allows for the 15 day rebuttal period.
If you select option 1 above, you can later fax or mail a written
request to Medicare to discontinue participation in the immediate
recoupment process at anytime. Allow Novitas Solutions, Inc. 10
business days from receipt to stop the immediate recoupment process.
If you select option 2 above, please note that the immediate recoupment
process will occur at the demand letter level through our current
process which will not allow offset to begin until day 16 from the
demand letter date (assuming the provider has paying claims). The 16
day timeframe allows for the 15 day rebuttal period.
A
request for immediate recoupment must be in writing and may be
submitted by fax or regular mail. We do not currently offer the option
for you to email us your request. Novitas Solutions, Inc. preferred
method is to recommend utilization of the fax process to insure
efficiency, timeliness, and to decrease costs. Please refer to the fax
numbers listed above including separate fax numbers for Medicare Part A
versus Medicare Part B. Your request for immediate recoupment must
include the following when submitting your request:
Your name and contact phone number (include area code)
Your Provider Transaction Account Number (PTAN)
Your National Provider Identification (NPI)
Your Provider signature or CFO’s signature authorizing the request
The Overpayment Demand Letter number located on the 1st page, at the right top of page
Identify which option you are requesting.
Your request must specifically state you understand you are waiving
potential payment of interest pursuant to Section 1893(f)(2) for
overpayments. Such interest may be payable for certain overpayments
reversed at the Administrative Law Judge level or subsequent levels of
appeal (935 Overpayments).
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