Immediate Offset Submission

Fax: 701-277-7894



Noridian Medicare Refunds DME
PO Box 6727
Fargo ND 58108-6727

Immediate Recoupment or Offset

Suppliers receive overpayment request letters that contain the detail of the Medicare claims that were processed which led to an overpayment. This initial overpayment notification letter includes the process a supplier may use to appeal the debt. It is the supplier's responsibility to refund overpayments. The supplier should respond to the request for refund according to the instructions provided in the request letter.

Immediate Recoupment Form - Suppliers may make a one-time request to have their account set to immediately offset debt from a current Medicare payment. This process gives suppliers the option to avoid interest from accruing on overpayments and the opportunity to continue with the appeal process, if needed. This can be selected for a single claim or a current claim and all future overpayments until the supplier otherwise notifies Noridian.

Access this form from the Refunds/Overpayments Forms webpage.

Request for Immediate Recoupment (Offset)

To reduce the effort suppliers would spend obtaining a check and sending the related paperwork to Noridian in response to an overpayment request letter, suppliers have the option to use a process outlined in CMS Change Request 7688 to have their Medicare account set to immediately offset/withhold payment for debt from a current Medicare payment.

This does not impact a supplier's ability to appeal an overpayment. Suppliers are encouraged to review the below information to determine if initiating an immediate offset indicator for their future debt would be beneficial for their business practice.

Suppliers may elect to have overpayment(s) repaid through the "immediate recoupment" process and avoid paying by check or waiting the standard recoupment process that begins on day 41 from the date of the demand letter. This process is voluntary and for supplier's convenience. If used, a supplier it is not required but suppliers are encouraged to use the Immediate Recoupment Form. However, suppliers can submit their own request as long as it contains all of the following seven elements:

  1. Provider/Supplier Name
  2. Contact phone number
  3. Supplier's PTAN and/or Suppliers' National Provider Identification (NPI)
  4. Signature of the supplier or the Chief Financial Officer (CFO)
  5. Letter number to identify the debt (i.e., the Document Control Number)
  6. Indication of which type of immediate recoupment is being requested. Suppliers must specify the type of request being submitted; however, request for immediate recoupment must be received in writing no later than 16 days from the date of initial demand letter.
    • A request for the current overpayment address in this demand letter only, or
    • A one-time request for the current overpayment and all future overpayments
  7. The supplier's request must specifically state he/she understand potential receipt of interest payment pursuant to Section 1893(f)(2) for overpayments is begin waived.
    • Note: Such interest may be payable for certain overpayments reversed at the Administrative Law Judge (ALJ).

Benefits of Automatically Offsetting Debts

Depending on the claim payment activity a supplier has with Noridian, the "immediate recoupment" process gives suppliers the option to avoid interest from accruing on claims overpayments when the debt is recouped in full prior to or by the 30th day from the initial demand letter date. If the supplier does not appeal the identified overpayment, and the supplier has claim payment activity that would satisfy the debt, suppliers can avoid the administrative activity of creating the paperwork and sending Noridian a check.

Ability to Cancel Automatic Offset Election

A supplier may change their election by submitting the following information to the Noridian DME Recoupment team via fax, Email, or postal mail.

  • Provider/Supplier Name
  • Contact phone number
  • Supplier's PTAN and/or Suppliers' National Provider Identification (NPI)
  • Signature of the supplier or the Chief Financial Officer (CFO)
  • Indication that the supplier requests that an existing immediate offset indicator be removed from their file.

Notification Process and Appeal Rights Remain Unchanged

Noridian continues to mail supplier's notification overpayment letters with the details that were used to determine the debt. The letter defines the steps necessary to appeal the debt. If the debt is successfully appealed and the supplier has proven the claim was paid correctly, any debt and interest collected will be provided to the supplier and/or applied to any outstanding debt the supplier may have on file.

Overpayment Status Inquiries

Noridian offers suppliers three tools to determine the status of repayment for debt.

  1. Overpayment request letter are mailed to suppliers and contain the detail of the debt in addition to the Financial Control Number (FCN).
  2. The Noridian IVR can be used to enter the FCN to gain specific details about the debt and collection activity.
  3. Suppliers can use the Noridian Medicare Portal, to enter the FCN to gain details regarding what claim(s) caused the debt as well as what checks, offsets, and interest have been collected to satisfy the debt.

Immediate Offset is on a Contractor-by-Contractor Basis

If a supplier bills multiple DME Medicare Administrative Contractors (MACs), the supplier needs to initiate the immediate offset process with each DME MAC. When a claim number is used on the Request for Immediate Recoupment, suppliers need to ensure the claim number used in the submission is specific to the claim processed by that DME MAC.


Last Updated Jul 24, 2017