Medicare: CMS Services Furnished to Medicare Beneficiaries Classified as Unlawfully Present in the US Under Review.


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Topic Medicare: CMS Services Furnished to Medicare Beneficiaries Classified as Unlawfully Present in the US Under Review.
Background The Centers for Medicare & Medicaid Services (CMS) has created a new process to identify and perform retroactive adjustments on any previously paid claims that may have been paid erroneously during periods when the beneficiary data in Medicare’s files did not reflect the fact that the beneficiary was unlawfully present in the United States.
Regulating Body CMS
Compliance Date 4/1/2013
Consequences Medicare will recoup the previous payment made in error.
Next Steps Review your Medicare EOBs to determine if recoupments have been taken off any current claims.​
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