What does EPC mean in UNCLASSIFIED
EPC is a process used to recover erroneous payments made by Medicare. Erroneous payments are payments that were not authorized by the beneficiary or that were made for services that were not rendered.
EPC meaning in Unclassified in Miscellaneous
EPC mostly used in an acronym Unclassified in Category Miscellaneous that means Erroneous Payment Corrections
Shorthand: EPC,
Full Form: Erroneous Payment Corrections
For more information of "Erroneous Payment Corrections", see the section below.
Essential Questions and Answers on Erroneous Payment Corrections in "MISCELLANEOUS»UNFILED"
What is Erroneous Payment Correction (EPC)?
What are the types of erroneous payments?
Erroneous payments can include duplicate payments, overpayments, underpayments, and payments for services that were not medically necessary.
How does EPC work?
EPC is initiated by the Medicare contractor, who identifies and investigates potential erroneous payments. If the contractor determines that a payment was erroneous, they will issue a demand letter to the provider or supplier requesting repayment.
What are the consequences of receiving an EPC demand letter?
Failure to repay the erroneous payment within the specified timeframe can result in penalties, interest charges, and suspension from the Medicare program.
Can I appeal an EPC demand letter?
Yes, providers and suppliers have the right to appeal an EPC demand letter. The appeal process involves submitting a written request for reconsideration to the Medicare contractor.
What are the timeframes for EPC?
The Medicare contractor has up to four years to identify and initiate EPC for overpayments. Underpayments must be reported within 60 days of discovery.
How can I avoid EPC?
Providers and suppliers can avoid EPC by ensuring that all claims are accurate and supported by appropriate documentation. They should also have a compliance program in place to monitor and prevent erroneous payments.
EPC also stands for: |
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| All stands for EPC |