Medicare Recoupment (02/2014)
Using the Correct Address and
Fax Number for Refunds and Immediate Recoupment Requests
National Government Services has seen an increase in refund checks from
providers and provider-initiated immediate recoupment requests being sent
to inactive or invalid fax numbers.
It is important to utilize the correct
addresses and fax numbers for all your requests. Medicare Part B Providers
in Jurisdiction K (JK): Connecticut, Maine, Massachusetts, New Hampshire,
New York, Rhode Island, and Vermont, should follow these instructions
and use these addresses and fax numbers for requests.
Immediate Recoupment
Request Instructions
Providers can elect to have demanded overpayments immediately recouped
from their Medicare payments to avoid making payment by check and/or avoid
the assessment of interest if the immediate recoupment pays the debt in
full before day 31. A request for immediate recoupment is considered a
voluntary repayment agreement. If an appeal of the overpayment is received
after a request for immediate recoupment, the recoupment will not be stopped.
What You Need
to Know
• An easy way to request immediate recoupment is the use the Immediate Recoupment Request Form located on our Web site under Resources > Forms.
• A request can be submitted by mail, fax, or by using the Immediate Recoupment Request Form - Electronic/E-mail located on our Web site under Resources > Forms.
Note: You can terminate the immediate recoupment process at any time; however the request to terminate must be in writing. To request an immediate recoupment by mail or fax, you must complete the Immediate Recoupment Request Form.
A request for immediate offset must be received no later than the 16th day from the date of initial demand letter.
• A separate request is required for each Provider Transaction Access Number (PTAN).
• The information listed on the Immediate Recoupment Request Form is required. Failure to provide the necessary information could delay processing of the request or result in the request being returned.
• Requests for immediate recoupment will be processed within 10 business days of receipt.
• Immediate recoupment of all future overpayments may be discontinued at any time by submitting a request in writing.
• After the request is processed, recoupment of future overpayments will begin on the 41st day after the date of the demand letter unless the overpayment is satisfied in full, a valid and timely rebuttal is received, a valid and timely 935-appeal is received or a valid and timely request for an extended repayment plan is received.
• By signing the request, the provider certifies that they understand they are waiving potential receipt of interest payment pursuant to Section 1893(f)(2) for the overpayments. Note: Such interest may be payable for certain overpayments reversed at the Administrative Law Judge (ALJ) level or subsequent levels of appeal.
• If there is a remaining principal balance after the initial recoupment, recoupment will continue until the debt is satisfied.
• Any recoupment occurring more than 30 days after an appeal decision by the qualified independent contractor (QIC) will not be considered as voluntary payment.
• Per Centers for Medicare & Medicaid Services (CMS) policy, providers will continue to receive demand letters after requests for immediate recoupment of all future overpayments are processed,. Additional requests for immediate recoupment are unnecessary.
• Providers will be notified of recoupments on their remittance advice (RA). The recoupment will appear at the bottom of the RA as a "WO" followed by a financial control number (FCN); the FCN is the invoice number that the recoupment was taken for.
• Providers are responsible for tracking which invoice a recoupment applies to by comparing the RA with the recoupment to the demand letter.
• Recoupment will begin no earlier than 16 days from the date of the demand letter. This is to allow providers time to file a rebuttal.
• Do not include additional attachments with the immediate recoupment request.
If you are mailing or faxing the form it
must be completed in its entirety and can be mailed or faxed to:
National Government Services, Inc.
JK Part B MAC Overpayment Recovery Unit
P.O. Box 7204
Indianapolis, IN 46207-7204
Fax: 317-913-6510
Attn: Immediate Recoupment Request Form