If you received an accelerated or advance payment, the Centers for Medicare & Medicaid Services (CMS) will begin to recoup any outstanding balance from any payments due to you from your Medicare claims. This process began as soon as 3/30/2021, depending upon the one-year anniversary of when you received your first advance payment.

CMS will show the recoupment on the remittance advices issued for Medicare Part A and B claims we process after the one-year anniversary of issuing the first payment. The recoupment will appear as an adjustment in the Provider-Level Balance (PLB) section of the remittance advice with a ‘WO” and identified with “CVD,” as in COVID-19 netting.

For institutional providers who get periodic interim payments, please note that we will not include COVID-19 Accelerated and Advance Payments (CAAPs) in the reconciliation and settlement of final cost reports. Instead, we will recoup from your periodic interim payments.

How will withholding/offset amounts appear on my Medicare Remittance Advice?

Home Health, Hospice and Part A Facilities

• Any amount offset and applied to the accelerated payment refund amount will appear on the Remittance Advice summary page in the section labeled “Withhold From Payments,” then “Accelerated Payments.” That amount will then be deducted from the “Payments” section.

Part B Providers

Any amount offset and applied to the refund of the advanced payment will appear on the last page of the Remittance Advice with WO indicating the amount withheld with a CVDXXX reference number

Source: NGS Daily News_4/29/21