Over the past two years, Medicare frequently reimbursed both the doctor and hospital for the cost of a patient’s annual wellness visit. The Centers for Medicare and Medicaid Services (CMS) recently announced that it will now only reimburse one or the other – and Medicare administrative contractors (MACs) are authorized to recoup any overpayments made since April 2011.

The new policy will be implemented April 1, 2013, according to CMS transmittal 1190.

MACs will recoup payments from whichever entity – the physician or facility – filed the claim second.

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