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Credit Balance Report (CMS-838) to help ensure that monies owed to Medicare are repaid in a timely manner.
What is a Credit Balance (838) Report? Providers use the quarterly CMS-838 report to disclose Medicare credit balances. Medicare credit balance is an amount determined to be refundable to Medicare.
Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Health & safety standards. Back to menu section title h3. ... Small business tax credit & premium assistance; Appeals; Small Business Health Options Program (SHOP) ... Medicare Credit Balance Reporting Requirements. Revision Date. 2003-10-01. O.M.B. # 0938-0600.
This page includes links to quarterly updates, the credit balance status tool, the official version of the CMS-838 Credit Balance Report and instructions on how to complete the report, and an excel version of the detail page.
The Credit Balance Report Lookup tool will provide you with our internal Document Control Number (DCN), the status of the report, the date it was received at Palmetto GBA, and any applicable comments.
How to Complete CMS-838 Credit Balance Reports. Medicare Administrative Contractor, Novitas Solutions, Inc. is responsible to ensure compliance with the Credit Balance reporting process. The information provided below offers a brief explanation of how the CMS-838 Credit Balance Reports should appear before faxing to Novitas.
This interactive module provides assistance with completing the Medicare Credit Balance Report (CMS-838). A credit balance is an improper or excess payment made to a provider as a result of patient billing or claims processing errors. Providers must submit this report quarterly.
As a healthcare provider or facility that accepts Medicare payments, you are required to submit a Medicare credit balance report each quarter. This report ensures that you have accurately billed Medicare for the services you provided and have refunded any overpayments.
The detail page requires specific information on each credit balance on a claim-by-claim basis. This page provides space to address 17 claims, but you may add additional lines or reproduce the form as many times as necessary to accommodate all of the credit balances that you have reported.
If you have any questions or concerns about credit balance reporting, please email us at creditbalanceinquiries@novitas-solutions.com. Other resources