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Applause hi I'm Dan Loss and for the next few minutes I'm going to discuss the Medicare overpayment recovery process which many people refer to as the Medicare take back process our goals for this presentation are first off to give you a better understanding of the overpayment recovery process and then to provide an understanding of how that medicare recovery process is implemented in billings remittance processing module and finally then to provide some tips for balancing your daily deposits when using remittance processing before we delve too far into the process of overpayment recovery we have to come to terms on a few different terms now we may all think that well we know all the terms that they could be related to overpayment recovery but sometimes terms get mixed up so let's just get clear on a few of them the first term I want to clarify is remittance now in the course of this we might talk about remittance files you might hear about remittance transactions some people might refer to remittance of variety of different ways maybe to mean a payment then in reality remittances the sending of money to someone when we say if someone says that a remittance is a payment well that's assuming the reason for the remittance, and we don't really know if we just refer to a remittance what the reason for the transfer of money is, but we do know that remittance represents the transfer of money or the sending of money to someone a payment on the other hand may be part of a remittance, but a payment is something that's given in return for in return for a service or for goods or may even be given in return for punishment or for reward so payment and remittance closely related but not exactly the same thing the next term provider' level adjustment now this is a term that you will hear many times related to a remittance transaction or remittance file that you receive from a healthcare payer a provider level of adjustment is an adjustment tool remittance so an adjustment to the amount of money being sent to someone that's not directly related to a specific claim or service, so it's an adjustment to the amount of money being sent that doesn't directly affect the amount of money being paid confused yet well we'll try to clarify that in a few more mount moments the fourth term is recovery now recovery is the Medicare process for reallocating money that was paid incorrectly on one claim to a different claim so in a summary Medicare paid me for a claim decided that they shouldn't have paid me for that claim and eventually moves that money over to a different claim so let's take a look at how an example of how this works in practice we're gonna start out with the assumption that we have two calls that we're going to build to Medicare each of them has an initial balance of 800, so I bill call number one to Medicare and Medicare sends me a remittance file they send me remittance file number one the check amount that's identified in that remittance file is five...
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