Can a provider request immediate offset for voluntary refunds or for solicited overpayments prior to the 40-day interval?

As of October 1, 2010, Palmetto GBA no longer allows providers to request an immediate offset as a payment method relating to voluntary/self-disclosed Medicare overpayments. Providers should submit a check made payable to Palmetto GBA or Medicare with the overpayment refund form. If the check payee is addressed differently, it will be returned to the provider. Overpayment refund forms received without check payment will be processed under established collection procedures mandated by the Centers for Medicare & Medicaid Services (CMS).

As an alternative to this, a provider may request an immediate offset once an overpayment has been established and a demand letter has been sent. Once you receive the Palmetto GBA Medicare refund notification, an immediate offset request can be submitted to our office.

Note: An immediate offset request will be processed as soon as possible; however, this request does not guarantee that interest will not accrue on the overpayment. To reduce the risk of interest accruing on a voluntary refund, attach a check to the overpayment refund form.

To request an immediate offset for an established account receivable:

  • Fax a copy of the "Overpayment Detail Listing" page of the overpayment demand letter showing the account receivable number to be placed in immediate offset status
  • Indicate "Immediate Offset" either on the demand letter or on the fax cover sheet 
  • Fax this information to Railroad Overpayments at (803) 382-2418 

Contact Railroad Medicare

Email Railroad Medicare

Contact a specific Railroad Medicare department

Provider Contact Center: 888-355-9165

IVR: 877-288-7600

TTY: 877-715-6397

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