What happens to the documentation and information that is submitted with the Discussion form?
The documentation and information is reviewed by the appropriate person at HDI and a determination is made to either uphold or overturn the overpayment. A letter is sent to the provider advising them of the determination. If HDI closes the finding after review of the Discussion information, HDI will work with the Medicare Claims Processing Contractor to close the AR or refund the monies if the offset has already occurred. The Discussion process does not impact the Medicare Claim Processing Contractor rebuttal or appeal process and does not stop recoupment.
Related Questions
- Do I have to re-submit an Eligibility application form for the national Foundation Programme even if I have already submitted all of my eligibility documentation for an AFP?
- What happens if the documentation for a clinical site I’ve been using and submitted is not recognized by JRC-DMS?
- I have submitted the Appeals form and the required documentation. How soon will it be processed?
