CGS (a Medicare Administrative Contractor) has
identified a claims processing issue that results in an overpayment displayed
on your remittance advice (RA). In these cases, the overpayment amount is
reflected either in the adjustment to balance field on the standard paper RA or
as adjustment reason code 90 on the electronic remittance advice (ERA). CGS is
awaiting further direction from the Centers for Medicare & Medicaid
Services (CMS) regarding collection of these overpayments. Providers are
encouraged to track the dollar amount associated with the overpayment and the
RA/ERA paid date, as CGS anticipates a future recoupment may occur. We do not
recommend providers reporting this overpayment on their credit balance report.
Please monitor future CGS listservs for additional updates on this issue.
For more information please use the following
link:
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