Document Detail


Medicare program; limitation on recoupment of provider and supplier overpayments. Final rule.
MedLine Citation:
PMID:  19827229     Owner:  HSR     Status:  MEDLINE    
Abstract/OtherAbstract:
This final rule implements a provision of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) which prohibits recouping Medicare overpayments from a provider or supplier that seeks a reconsideration from a Qualified Independent Contractor (QIC). This provision changes how interest is to be paid to a provider or supplier whose overpayment is reversed at subsequent administrative or judicial levels of appeal. This final rule defines the overpayments to which the limitation applies, how the limitation works in concert with the appeals process, and the change in our obligation to pay interest to a provider or supplier whose appeal is successful at levels above the QIC.
Authors:
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Federal register     Volume:  74     ISSN:  0097-6326     ISO Abbreviation:  Fed Regist     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-10-14     Completed Date:  2009-10-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7808722     Medline TA:  Fed Regist     Country:  United States    
Other Details:
Languages:  eng     Pagination:  47458-70     Citation Subset:  T    
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MeSH Terms
Descriptor/Qualifier:
Financial Audit / economics*,  legislation & jurisprudence
Humans
Insurance, Health, Reimbursement / economics*,  legislation & jurisprudence
Medicare / economics*,  legislation & jurisprudence
Prospective Payment System / economics*,  legislation & jurisprudence
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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