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Printed Date: 9/22/2015
The quarterly Credit Balance Reports (CMS 838) are due within 30 days of the end of each calendar quarter. The Credit Balance report is used to disclose Medicare credit balance amounts due from the provider to Medicare as of the last day of each quarter. Generally, when a provider receives an improper or excess payment for a claim, it is reflected in their accounting records (patient accounts receivable) as a ‘credit.’ Credit balances should only be reported at the end of the quarter if the provider has not repaid the amount to Medicare through a voluntary refund, have not received a remittance advice indicating that the adjustment associated with the credit has been adjudicated, or have not received a demand letter for the credit balance amount.
The CMS guidelines governing these processes can be found on the CMS website under:
Palmetto GBA is committed to helping providers understand the Credit Balance process. For more information and the options available to you, please select the link below for additional information regarding the Credit Balance process.
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Last Updated: 12/01/2018