Medicare Advance/Accelerated Payments and Recoupments
Due to practices being closed during the COVID 19 Pandemic, providers were able to request Accelerated Payments from Medicare in lieu of claims. Repayment begins one year starting from the date the accelerated or advance payment was issued. Medicare recoups the money from current claims until the repayment is paid in full starting at 25% for 11 months past the repayment start date. After that time period, the recoupment amount increases. See the Medicare Accelerated-and-Advanced-Payments-Fact-Sheet.pdf.
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Add a Patient for Medicare Advance Payments and Recoupments
kip to end of metadataCreaat a Patient Create a Patient Example: First Name = Advance; Last Name = Medicare Payment. Enter Last Name. (Example: Medicare Payment) Enter First Name. (Example: Advance) Enter "dummy" DOB. Choose a Gender. Enter a "dummy" ...
Create an Encounter for Medicare Advance Payments, Recoupments, and Adjustments
Create an Encounter Select Post Charge on the Encounter Dashboard. Choose a Facility. If the Payment is provider specific, choose the applicable Provider. If not, any Provider can be chosen. Dx 1: MISC Enter a DOS. Choose the Procedure Code for the ...
Post a Medicare Advance Recoupment
To prevent the Recoupment from affecting your A/R, the Recoupment and Adjustment can be posted at the same time. This will bring the encounter balance to zero on the Medicare Advance "fictitious" patient. Post an ERA Recoupment There will be a ...
Post a Medicare Advance Payment and Adjustment
To prevent the Payment from affecting your A/R, the Payment and Adjustment can be posted at the same time. This will bring the encounter balance to zero on the Medicare Advance "fictitious" patient. Post to an ERA There will be a message in red ...
Setup for Posting Advance Payment, Recoupment, and Adjustment (Table of Contents)
Contents Medicare Advance Payment: Add Procedure and Adjustment Code Add a Patient for Medicare Advance Payments and Recoupments Create an Encounter for Medicare Advance Payments, Recoupments, and Adjustments