CHA News Article

CMS Halts Overpayment Collections From Hospitals Treating Incarcerated Patients
CHA helps facilitate policy change in favor of hospitals

Earlier this year, the Office of Inspector General released a report indicating that Medicare had improperly paid hospitals for services provided to incarcerated beneficiaries. As a result, the Centers for Medicare & Medicaid Services (CMS) identified the overpaid claims and issued letters to hospitals demanding they either repay the overpayments or appeal the denial decisions. Many hospitals identified errors in the data CMS used to identify the overpaid claims and raised their concerns with CHA. Last week CMS acknowledged the error and agreed to cease its overpayment collection efforts.

CMS has released a list of frequently asked questions related to this issue and guidance on how hospitals can proceed in recovering the recoupments, and plans to include it as a topic in the next Open Door conference call. The call, which allows participants to ask specific questions, is scheduled for Aug. 6 at 11 a.m. (PT). To participate, dial (800) 837-1935 15 minutes before the start time and reference conference ID 14949842. For more information about Open Door conference calls, visit