Mark A. Stanley

Payment Matters: No Judicial Review of Contractor’s Finding of a High Payment Error Rate, a Condition for Extrapolation

Before a Medicare contractor can use extrapolation to determine an overpayment amount, the Medicare statute requires that it must make a finding that there is a sustained or high level of payment error or that documented...more

2/11/2013 - ALJ Appeals CMS Extrapolation High Payment Error Rate Independent Contractors Judicial Review Jurisdiction Medicare Medicare Appeals Council Overpayment QIC