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HHS/CMS RIN: 0938-AN42 Publication ID: Spring 2009 
Title: Limitation on Recoupment of Provider and Supplier Overpayments (CMS-6025-F) 
Abstract: This rule implements one provision of section 935 of the Medicare Prescription Drug Improvement and Modernization Act, which added a new subsection to section 1893 of the Social Security Act. It adjusts Medicare's ability to recover an overpayment when the Qualified Independent Contractor (QIC) receives a valid appeal from the provider or supplier. This rule defines the overpayments to which the limitation applies, how the limitation works in concert with the appeals process, and the change in Medicare's obligation to pay interest to a provider or supplier whose appeal is successful at levels above the QIC. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 405   
Legal Authority: sec 1893(f)(2) of the Social Security Act added by sec 935 of the MMA   
Legal Deadline:
Action Source Description Date
Final  Statutory  MMA Section 902  09/22/2009 
Timetable:
Action Date FR Cite
NPRM  09/22/2006  71 FR 55404   
NPRM Comment Period End  11/21/2006    
Final Action  09/00/2009    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Deborah A. Miller
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Office of Financial Management, Mailstop C3-14-00, 7500 Security Boulevard,
Baltimore, MD 21244-1850
Phone:410 786-0331
Email: deborah.miller3@cms.hhs.gov