Answer:
Yes, that statement is generally true. In a provider agreement between the Centers for Medicare & Medicaid Services (CMS) and a healthcare provider, there are often clauses or provisions that require the provider to promptly refund any money they incorrectly collected from a Medicare beneficiary. This is part of the contractual obligations and compliance requirements for healthcare providers participating in the Medicare program.
Providers are expected to bill Medicare correctly and only collect the appropriate coinsurance, deductibles, or copayments from beneficiaries as determined by Medicare guidelines. If they collect more money than they are entitled to, they are typically obligated to refund the excess amount to the beneficiary in a timely manner. Failure to do so can result in compliance issues and potential penalties.
However, the specific terms and conditions of provider agreements may vary, so it's essential for healthcare providers to review their agreements carefully and comply with all relevant Medicare regulations and guidelines.
Step-by-step explanation: