{"id":257,"date":"2012-08-04T09:45:15","date_gmt":"2012-08-04T09:45:15","guid":{"rendered":"https:\/\/www.billingparadise.com\/blog\/?p=257"},"modified":"2026-03-11T02:15:56","modified_gmt":"2026-03-11T07:15:56","slug":"is-this-illegal-to-keep-the-excess-reimbursements-medicare-pays","status":"publish","type":"post","link":"https:\/\/www.billingparadise.com\/blog\/is-this-illegal-to-keep-the-excess-reimbursements-medicare-pays\/","title":{"rendered":"Why Excess Reimbursements Medicare Pays Is Illegal to keep?"},"content":{"rendered":"

A medical practitioner in the early years of the 21st<\/sup> century would not have believed his ears if had been told that it\u2019s illegal to keep the excess reimbursements Medicare pays providers once in a while for their services.\u00a0 He\/She would have argued, CMS do check and make sure everything is correct before actually paying, right?\u00a0 Not exactly the scenario in today\u2019s world of Patient Protection and Affordable Care Act. \u00a0\u00a0There is strictly no such thing as a free lunch; even if it is shoved down your throat, Medicare expects you to regurgitate it within 60 days; else you should be ready with a very good lawyer.<\/p>\n

In what scenarios do these excess payments occur you might ask?\u00a0 \u00a0Errors in medical billing and medical coding<\/a> due to inadequate training in Medicare procedures has been found to be the most common reason for these over payments in the first place.\u00a0 \u00a0This could range from a medical coder documenting services in an outpatient setting as a non-facility service, to someone not fully understanding the intricacies of same-day read missions.\u00a0 Or the source could be much before the medical billing and coding processes start, like in situations when the front-office fails to properly verify the eligibility of a patient to receive certain treatments like end-stage renal disease care etc.\u00a0 It could also be someone from the medical equipment team, who instead of taking a faulty device to its OEM or original equipment manufacturer, advises his medical billing team to bill Medicare.<\/p>\n

Thus the surest way to avoid an Office of the Inspector General personnel knocking on your clinic\u2019s door is by billing and coding correctly in the first place, by outsourcing it to a dedicated medical billing services company<\/a> like Billing Paradise\u00a0 (1-888-571-9069 or steve@billingparadise.com).\u00a0 But then if you thought that a medical billing company cannot help you with your already over-billed claims, think again.\u00a0 The newly assembled ACA team at Billing Paradise is well on its way in helping more than 10 clinics avoid a showdown with Medicare.\u00a0 If you are not on a sure footing when it comes to returning Medicare over payments, do contact our ACA Team who can aid you by explaining the following:<\/p>\n

1.\u00a0\u00a0 The rules of the game when it comes to Medicare Over payments.<\/p>\n

2.\u00a0 Helping you avoid reading in between the lines by clearly delineating Medicare Overpayment Procedures.<\/p>\n

3.\u00a0 Consequences of ignoring the Medicare Ultimatum and what the civil suit may entail.<\/p>\n

4.\u00a0 When exactly does the 60-day window start.<\/p>\n

5.\u00a0 Best Practices for avoiding over payments in the first place.<\/p>\n

Of course apart from the above, our core competency a medical billing company services is sure to help you in plugging these coding slips in the first place, when the same is outsourced to us.<\/p>\n

BillingParadise can be reached at 1-888-571-9069 or <\/em>steve@billingparadise.com<\/em>.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

A medical practitioner in the early years of the 21st century would not have believed his ears if had been told that it\u2019s illegal to keep the excess reimbursements Medicare pays providers once in a while for their services.\u00a0 He\/She would have argued, CMS do check and make sure everything is correct before actually paying, […]<\/p>\n","protected":false},"author":2,"featured_media":357,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[721],"tags":[],"class_list":["post-257","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-collections"],"modified_by":"kiruthika","_links":{"self":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts\/257","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/comments?post=257"}],"version-history":[{"count":2,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts\/257\/revisions"}],"predecessor-version":[{"id":450172,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts\/257\/revisions\/450172"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/media\/357"}],"wp:attachment":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/media?parent=257"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/categories?post=257"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/tags?post=257"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}