Finding Your Way Through the Overpayment Maze: Medical Billing Overpayments and Recovering

Finding Your Way Through the Overpayment Maze: Medical Billing Overpayments and Recovering Medical billing is at times akin to finding one's way through a maze of codes, rules, and seemingly innumerable forms. Somewhere in the maze is the issue of overpayments, which causes headaches for payers and providers alike. Understanding what an overpayment is, why it occurs, and more importantly, how to recover those dollars is vital to maintaining your healthcare practice in a financially stable position. Texas Hill Country Consultants is here to de-mystify this complex issue and provide insight into the recovery process. What Exactly Constitutes a Medical Billing Overpayment? An overpayment in medical billing, simply put, is any payment made to a healthcare provider by a payer (insurance company, patient, or other third-party payer) that is more than the allowable amount for the services provided. This "allowable amount" is usually determined by contract arrangements with in...