3 things you must know about overpayment recovery
Attempting to determine the validity of alleged overpayments can divert significant time from direct patient care, which results in lost practice revenue. Overpayment demands may be made in very general terms and may also be intimidating. However, it is critical for physician practices to effectively and efficiently address overpayment recovery requests.
View “Get Overpayments Off Your Back with Practice Automation
“, a webinar designed to provide information on how to effectively address overpayment recovery requests in your practice.
In order to help physicians understand health insurer overpayment recovery requests, the AMA created the Overpayment Recovery Toolkit
, which consists of the following resources:
- Recognizing and Interpreting Overpayment Recovery
Requests: Designed to help physicians understand the basics of the overpayment recovery request process, this resource details the reasons that practices may receive overpayment recovery requests, the content of those requests, and important information on what to look for in these notifications. - Addressing and Resolving Overpayment Recovery
Requests: This resource provides guidance to practices on how to investigate and take action when receiving an overpayment recovery request. Additionally, this resource provides an overpayment recovery appeals letter
template for practices to utilize. - Automating the Overpayment Recovery Process: In order to help physicians save time and money, this resource explains how practices can automate the overpayment recovery process through use of Health Insurance Portability and Accountability Act (HIPAA) standard electronic transactions.
- Knowing Your Overpayment Recovery Rights: Intended to ensure that physicians understand their rights in the overpayment recovery request process, this resource offers information on the responsibilities of health plans and the rights of physicians provided by many states laws and regulations.