Medical Practices Consulting / Medicare AAPP Recoupment Terms Finalized

Medicare AAPP Recoupment Terms Finalized

A sigh of relief can be heard amongst the medical community last week.  Lawmakers granted an extension for providers who had their Medicare payments advanced during the early stages of the COVID-19 public health emergency.

The bill gives part B providers 1 year (originally 120 days) before CMS begins to recoup payments made under the Accelerated and Advance Payment Program.  The repayments will be made via claim reimbursement offsets.  It also states that CMS will only offset a provider’s payments after the initial grace period by 25% of the payment amount on the EOMB for the first 11 months of repayment, and then 50% of the payment amount on the EOMB for the remaining 6 months for a total extension and repayment period of 29 months.

CMS will withhold Medicare payments after the 12-month grace period for a total of 17 months before requiring providers to repay the remaining balance in full. Additionally, the law reduced the interest rates on any outstanding balances from 10.25% to 4.0%.

Keep informed
Receive tips on how you can use outsourcing to save time and improve your business processes.

Related Articles

01/19/2024

Mastering the Art of Negotiating Payor Contracts in Healthcare

In the intricate realm of healthcare, the art of negotiating payor contracts is a skill that can significantly impact the financial well-being of

Read More  
06/20/2023

Bringing on a New Provider? The Importance of Not Waiting For Credentialing 

What is credentialing?  In a healthcare setting, physician credentialing is the formal process of verifying the professional records that qualify a

Read More  
04/26/2023

COVID19 PHE Ending May 11th 2023: Helpful Tips for Medical Practices to Manage the Transition

As HHS Secretary Xavier Becerra announced in the letter to U.S. Governors, the COVID-19 PHE expired at the end of May 11, 2023. Department of Health

Read More  
BlueStone-logo