Healthcare Business Management Association - HBMA
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Overpayments & Underpayments -- Denials & Offsets
By Penny Noyes

Denials and the recoupment of monies by payers due to retroactive eligibility problems and other claim overpayments present ever growing issues for practices. Old payer contracts tend to be absent of language that specifically addresses these issues, while newer agreements spell out very clearly what the payer has the right to do. In these circumstances, as expected, the provisions favor the payer.

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