FUNDS RECOUPED FROM MEDICAID CHECKWRITE

Recently, we have received several calls from providers concerned that funds were unexpectedly recouped from their most recent Medicaid checkwrite. This has caused some confusion and possible financial hardship.

According to NCTracks, “This reprocessing applies to QMB claims submitted with Patient Monthly Liability (PML) dates of service between July 1, 2013 and July 1, 2015. This reprocessing will only apply to claims that were not previously reprocessed in adherence to Centers for Medicare & Medicaid Services (CMS)’s Informational Bulletin Payment of Medicare Cost Sharing for Qualified Medicare Beneficiaries (QMBs) dated June 7, 2013.”

The complete announcement from NCTracks can be read by clicking here.