Medical Business Advisory / Medicare AAPP Recoupment Terms Finalized

Medicare AAPP Recoupment Terms Finalized

A sigh of relief can be heard amongst the medical community last week.  Lawmakers granted an extension for providers who had their Medicare payments advanced during the early stages of the COVID-19 public health emergency.

The bill gives part B providers 1 year (originally 120 days) before CMS begins to recoup payments made under the Accelerated and Advance Payment Program.  The repayments will be made via claim reimbursement offsets.  It also states that CMS will only offset a provider’s payments after the initial grace period by 25% of the payment amount on the EOMB for the first 11 months of repayment, and then 50% of the payment amount on the EOMB for the remaining 6 months for a total extension and repayment period of 29 months.

CMS will withhold Medicare payments after the 12-month grace period for a total of 17 months before requiring providers to repay the remaining balance in full. Additionally, the law reduced the interest rates on any outstanding balances from 10.25% to 4.0%.

Keep informed
Receive tips on how you can use outsourcing to save time and improve your business processes.

Related Articles

04/11/2025

Mastering Payor Contracting Strategies in Healthcare

Updated on 4/11/25 In the intricate realm of healthcare, the art of negotiating and developing payor contracting strategies is a skill that can

Read More  
03/20/2025

Telehealth Changes You Need to Know About, Part Two

As of March 15, 2025, several key updates have emerged regarding telehealth waivers and healthcare provisional changes. Here’s what you need to

Read More  
03/07/2025

Key Changes For Telehealth On The Horizon

Earlier last month, a bipartisan bill was introduced to “make expanded access to telehealth services permanent,” indicating the important role

Read More