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Printed Date: 9/22/2015
A voluntary refund should be returned to Medicare any time an overpayment has been identified by a provider. Overpayments are Medicare funds that a provider, physician/supplier or beneficiary has received in excess of amounts due and payable by Medicare. Once a determination of overpayment has been made, the amount is a debt owed to the United States Government.
When you identify an overpayment
Part A and home health and hospice providers are encouraged to submit their own adjustments to correct their claims. This will set up the overpayment and offset the funds due Medicare from the next claim payment.
If the provider is not able to submit their own adjustments, the appropriate voluntary refund form and payment should be submitted.
How to submit a voluntary refund
Providers are strongly encouraged to submit Voluntary Refunds electronically using the eCheck feature within the Financial Tools section of Palmetto GBA’s eServices. The eCheck function allows payments to be sent electronically to Palmetto GBA. Voluntary refunds can be submitted by using the eCheck option and selecting the option within the eCheck form indicating the payment is not associated with a demand letter. A copy of the voluntary refund form and any other relevant documents must be uploaded and attached to the eCheck to assist in processing. Once submitted, you will receive a confirmation from Palmetto GBA indicating that the payment has been received. For more information, please review the Financial Tools Section in the eServices user manual (PDF, 7.85 MB).
Providers may also mail a check payable to Palmetto GBA or Medicare, the completed applicable Voluntary Refund form, and any relevant documentation to the address listed at the bottom of the applicable Voluntary Refund form.
Please see the form link(s) below
CMS Regulation References
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Last Updated: 10/09/2019