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Refund Time Limit
Is there is a time limit for insurance companies to request refunds from providers?
Question: Is there is a time limit for insurance companies to request refunds from providers?
Answer: Refunds are a contractual issue. Look at your payer contract for limits on "recoupment." If there is no time limit, they can seek refunds for as far back as they like. Many physicians try to address this issue when it comes time to make or renew contracts.
Also, some states impose limits. For example, according to the Texas Medical Association, "state-regulated insurers and HMOs (which account for 20 percent of the market) [in Texas] may recoup overpayments only for those claims paid 180 days prior to the refund request."
Asset Protection and Financial Planning
December 6th 2021Asset protection attorney and regular Physicians Practice contributor Ike Devji and Anthony Williams, an investment advisor representative and the founder and president of Mosaic Financial Associates, discuss the impact of COVID-19 on high-earner assets and financial planning, impending tax changes, common asset protection and wealth preservation mistakes high earners make, and more.
How AI billing delivers precision, compliance, and savings
November 26th 2024For healthcare providers, executives, and decision-makers, embracing AI in claims processing is not just a step toward improved financial outcomes—it’s an ethical commitment to better care and a more patient-centered approach to service delivery.
