Overpayment request submission reminders

Overpayments are Medicare payments a provider or beneficiary has received in excess of amounts due and payable under the statute and regulations. Once an overpayment has been discovered, the amount is a debt owed and should be returned to First Coast. When refunding the money owed, here are a few things to remember:

• Return of monies voluntary refund form
  • If you are a SPOT user, you can submit the Part B overpayment form via the submit documentation feature
• If your submission includes multiple overpaid claims, please complete one refund form and send the details on an Excel spreadsheet
• Include the Medicare ID number, internal control number (ICN), date of service, and the reason for the overpayment
• Specify the claim line details such as procedure code(s) and amount
• Indicate if the entire claim has been overpaid or just certain claim lines
• If the amount of deductible or coinsurance liability collected from the beneficiary changes because of the identified overpayment, the provider must return the over collected funds to the beneficiary as appropriate.
• Send one check for the total amount of the overpayment
• If you received a demand letter, please send one check for the amount of the letter even if multiple accounts are included

Remembering to include the above information will assist First Coast in accurately processing your request. For more information about overpayments, please visit our frequently-asked questions pertaining to overpayments.