The OIG also recommended that CMS notify appropriate providers to exercise reasonable diligence to identify, report, and return any overpayments in accordance with the 60-day rule and identify any of those returned overpayments as having been made in accordance with this recommendation. CMS has agreed with the OIG’s recommendation that the agency direct the Medicare contractors to recover the $1.9 million for claims that are within the reopening period and instruct providers to refund up to $540,680, which beneficiaries were required to pay. The OIG said the errors occurred because CMS did not have claim system edits to prevent and detect overpayments.
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