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May 22, 2014

New CGS Web Page: Limitation on Recoupment (935)

The new Web page, "Limitation on Recoupment (935)" is now available and provides information about recoupment protections provided by the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA).  When an overpayment is subject to the limitation on recoupment protections, Medicare will not begin overpayment collection (or will cease collections that have started) when it receives a valid request for a redetermination (first level of appeal), or a reconsideration (second level of appeal). This page can be found on the CGS Home Health & Hospice Web page under the "Financial/Audit & Reimbursement" left side menu, as well as the "Education Materials & Resources" Web page. Please share this information with your appropriate staff.

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