© 2019 Palmetto GBA, LLC
We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.
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.
We value your opinion and want to provide the highest-quality and most relevant Medicare knowledge possible. Please let us know if this article was helpful.
It didn't answer my question
This article was helpful
We’re glad we could help you today and appreciate your feedback. When you rate our articles as most helpful, we know that we are on the right track for providing you with important news and information.
We're sorry this article didn't help you today. We'll use your feedback to review this article to try to revise or expand it. Contact us with more feedback or a question on this topic.
Last Updated: 1/01/2019