--- title: Medicare Delays Recoupment of Advanced Payments | HAP description: One of the fastest & easiest sources of emergency funding available to practices at the outset of the COVID-19 pandemic was the Medicare Accelerated & Advanced Payment Program. image: https://info.hapusa.com/hubfs/Medicare%20Delays%20Recoupment%20of%20Advances.jpg --- [![hap-logo](https://info.hapusa.com/hs-fs/hubfs/hap-logo.png?width=172&height=60&name=hap-logo.png "hap-logo")](https://hap-staging.xyz/) - [Home](https://www.hapusa.com/) - [About ](https://www.hapusa.com/about-us/) - [Our Team](https://www.hapusa.com/about-us/leadership/) - [Why Choose HAP](https://www.hapusa.com/about-us/revenue-cycle-management/) - [Services ](https://www.hapusa.com/services/) - [Medical Billing ](https://www.hapusa.com/services/medical-billing/) - [Your Partner in Patient Satisfaction](https://www.hapusa.com/services/medical-billing/your-partner-in-patient-satisfaction/) - [Tips to Improve Patient Satisfaction](https://www.hapusa.com/services/medical-billing/tips-to-improve-patient-satisfaction/) - [6 Proactive Medical Billing Tips to Maximize Revenue](https://www.hapusa.com/6-proactive-medical-billing-tips/) - [Medical Coding](https://www.hapusa.com/services/medical-coding/) - [Consulting](https://www.hapusa.com/services/medical-admin-consulting/) - [MIPS Quality Reporting](https://www.hapusa.com/services/mips-quality-reporting/) - [Specialties ](https://www.hapusa.com/clinical-specialties/) - [Radiology](https://www.hapusa.com/clinical-specialties/radiology/) - [Hospital Employed Physicians](https://www.hapusa.com/clinical-specialties/employed-physicians/) - [Physician Practices](https://www.hapusa.com/clinical-specialties/physician-practices/) - [Blog](https://info.hapusa.com/blog-0) - [News](https://www.hapusa.com/about-us/news/) - [Careers](https://www.hapusa.com/careers/) [ Client Sign In ](https://webvpn.hapusa.com/+CSCOE+/logon.html#form_title_text) [ Contact Us ](https://hap-staging.xyz/contact-us/) [ Client Sign In ](https://webvpn.hapusa.com/+CSCOE+/logon.html#form_title_text) [ Contact Us ](https://hap-staging.xyz/contact-us/) ![Medicare Delays Recoupment of Advances](https://info.hapusa.com/hubfs/Medicare%20Delays%20Recoupment%20of%20Advances.jpg) # Medicare Delays Recoupment of Advances - [Home](https://info.hapusa.com/) - [HAP Radiology Billing and Coding Blog](https://info.hapusa.com/blog-0) - Medicare Delays Recoupment of Advances [ Rebecca Farrington ](https://info.hapusa.com/blog-0/author/rebecca-farrington) 09/10/2020 ## Medicare Delays Recoupment of Advances ![Medicare Delays Recoupment of Advances](https://info.hapusa.com/hubfs/Medicare%20Delays%20Recoupment%20of%20Advances.jpg "Medicare Delays Recoupment of Advances") ![Medicare Delays Recoupment of Advances](https://info.hapusa.com/hs-fs/hubfs/Medicare%20Delays%20Recoupment%20of%20Advances.jpg?width=300&name=Medicare%20Delays%20Recoupment%20of%20Advances.jpg)One of the fastest and easiest sources of emergency funding available to practices at the outset of the COVID-19 pandemic was the [Medicare Accelerated and Advanced Payment Program](https://info.hapusa.com/blog-0/expansion-of-the-accelerated-advance-payments-program-for-providers-suppliers-during-the-covid-19-emergency).  As [we recently reported](https://info.hapusa.com/blog-0/early-pandemic-funding-sources-may-require-action-now), the initial timetable called for repayment of those advances to begin 120 days after the advance was made. Repayment was to be accomplished through reduction of Medicare reimbursements otherwise payable to the practice currently, until the full amount of the advance was repaid.   For practices that acted early, say around April 1, the automatic recoupment of the advance would have begun around August 1. However, recoupment has not yet begun and we have learned that the Medicare Administrative Contractors (MAC) are still awaiting guidance from the [Centers for Medicare and Medicaid Services (CMS)](https://www.cms.gov/) before beginning the recoupment process. There is some speculation that future iterations of the CARES Act will change the recoupment time frame and perhaps also the interest rate for any balance that may remain after the repayment deadline. Our attempts to reach CMS for an official position have been unsuccessful, although several MACs have confirmed the situation. We understand that letters will go out to practices once CMS has finalized its position. [![Get Our Top 10 Radiology RCM Tips](https://no-cache.hubspot.com/cta/default/16707/301a07a9-015b-4e16-b124-8dca2c26db82.png)](https://cta-redirect.hubspot.com/cta/redirect/16707/301a07a9-015b-4e16-b124-8dca2c26db82) Practices were not informed about the delay, and managers who were expecting to begin seeing their Medicare payments reduced are understandably concerned about running into the period when interest charges would begin, as the stated rate is 10.25%. As it currently stands, repayment is due within 210 days of the original advance, plus a 30-day grace period, before interest would begin to accrue.   In our example, an April 1 loan would therefore begin to accrue interest on day 241, or around December 1.   Rather than wait for recoupment to begin through payment reductions, practices have the option to repay the advance directly to CMS through their MAC. The same is true for any balance that remains at the end of the automatic repayment period. Each MAC has its own forms and procedures for this purpose, so the best course of action would be to contact your carrier directly for specific information. [![Contact Us](https://no-cache.hubspot.com/cta/default/16707/1088478d-a9f7-4565-8dac-15dab49f67ca.png)](https://cta-redirect.hubspot.com/cta/redirect/16707/1088478d-a9f7-4565-8dac-15dab49f67ca) There have been no recent changes to the other federal relief programs, including the grants provided through the [Department of Health and Human Services (HHS)](https://www.hhs.gov/) and the Paycheck Protection Program (PPP) loans provided through the CARES Act. The HHS grants do not have to be repaid, although [some reporting](https://info.hapusa.com/blog-0/early-pandemic-funding-sources-may-require-action-now) by the practice could be required. The PPP is a loan that will be forgiven after practices demonstrate that the funds were used for the designated purposes. The [forgiveness guidelines](https://info.hapusa.com/blog-0/new-ppp-loan-forgiveness-applications-forms-are-available-now) could change with the passage of additional legislation.   We will continue to monitor these programs along with any others that support physician practices. [Subscribe to this blog](https://info.hapusa.com/subscribe-to-hap-medical-billing-and-coding-blog) for all the latest information.   *[Rebecca Farrington](https://info.hapusa.com/get-in-touch-with-rebecca) is the Chief Revenue Officer at [Healthcare Administrative Partners](https://www.hapusa.com/). *   **Recent Articles ** [Radiology’s Declining Reimbursement Spans More Than A Decade](https://info.hapusa.com/blog-0/radiologys-declining-reimbursement-spans-more-than-a-decade)   [Medicare Proposed Major Cut in Radiology Reimbursement for 2021](https://info.hapusa.com/blog-0/medicare-proposed-major-cut-in-radiology-reimbursement-for-2021)   [Early Pandemic Funding Sources May Require Action Now](https://info.hapusa.com/blog-0/early-pandemic-funding-sources-may-require-action-now)   [![Inside advice from radiology RCM experts](https://no-cache.hubspot.com/cta/default/16707/f1acf195-e6b4-46f0-bdb2-e0bf10079237.png)](https://cta-redirect.hubspot.com/cta/redirect/16707/f1acf195-e6b4-46f0-bdb2-e0bf10079237)   [Follow HAP on LinkedIn](https://www.linkedin.com/company/healthcare-administrative-partners) [Follow HAP on Twitter](https://twitter.com/hapusarcm) [Like HAP on Facebook ](https://www.facebook.com/hapusarcm/) --- #### Share: - [Follow us on Facebook ](http://www.facebook.com/share.php?u=https://info.hapusa.com/blog-0/medicare-delays-recoupment-of-advances) - [Follow us on Twitter ](https://twitter.com/intent/tweet?url=https://info.hapusa.com/blog-0/medicare-delays-recoupment-of-advances&text=Medicare%20Delays%20Recoupment%20of%20Advances) - [Follow us on Linkedin ](http://www.linkedin.com/shareArticle?mini=true&url=https://info.hapusa.com/blog-0/medicare-delays-recoupment-of-advances) - [Follow us on Mail ](mailto:?subject=Medicare%20Delays%20Recoupment%20of%20Advances%20&%20body=https://info.hapusa.com/blog-0/medicare-delays-recoupment-of-advances) - Follow us on Copy Copied to clipboard --- [ #### Radiology’s Declining Reimbursement Spans More Than A Decade ##### Previous Post ](https://info.hapusa.com/blog-0/radiologys-declining-reimbursement-spans-more-than-a-decade) [#### Get Feedback on Your 2019 Quality Payment Program Performance ##### Next Post ](https://info.hapusa.com/blog-0/get-feedback-on-your-2019-quality-payment-program-performance) ### Leave a Reply --- ## Related Posts [ CARES Act](https://info.hapusa.com/blog-0/topic/cares-act), [ COVID-19](https://info.hapusa.com/blog-0/topic/covid-19), [ Relief Options](https://info.hapusa.com/blog-0/topic/relief-options), [ HHS PRF](https://info.hapusa.com/blog-0/topic/hhs-prf), [ Provider Relief Fund](https://info.hapusa.com/blog-0/topic/provider-relief-fund), [ Coronavirus Aid, Relief, and Economic Security Act](https://info.hapusa.com/blog-0/topic/coronavirus-aid-relief-and-economic-security-act) [ Rebecca Farrington ](https://info.hapusa.com/blog-0/author/rebecca-farrington) 30 June, 2021 #### [HHS Provider Relief Fund (PRF) Reporting Rules are Released](https://info.hapusa.com/blog-0/hhs-provider-relief-fund-prf-reporting-rules-are-released) The long-awaited guidance from the Department of Health and Human Services (HHS) was just released,... [Read More](https://info.hapusa.com/blog-0/hhs-provider-relief-fund-prf-reporting-rules-are-released) [ radiology reimbursement](https://info.hapusa.com/blog-0/topic/radiology-reimbursement), [ cms](https://info.hapusa.com/blog-0/topic/cms), [ QPP](https://info.hapusa.com/blog-0/topic/qpp), [ COVID-19](https://info.hapusa.com/blog-0/topic/covid-19) [ Erin Stephens ](https://info.hapusa.com/blog-0/author/erin-stephens) 17 March, 2021 #### [Update on The Quality Payment Program](https://info.hapusa.com/blog-0/update-on-the-quality-payment-program) The Quality Payment Program (QPP) continues to be modified due to the COVID-19 public health... [Read More](https://info.hapusa.com/blog-0/update-on-the-quality-payment-program) [ radiology](https://info.hapusa.com/blog-0/topic/radiology), [ COVID-19](https://info.hapusa.com/blog-0/topic/covid-19), [ Paycheck Protection Program](https://info.hapusa.com/blog-0/topic/paycheck-protection-program) [ Rebecca Farrington ](https://info.hapusa.com/blog-0/author/rebecca-farrington) 23 February, 2021 #### [Small Radiology Practices Have a Narrow Window of Opportunity for Additional Provider Relief](https://info.hapusa.com/blog-0/small-radiology-practices-have-a-narrow-window-of-opportunity-for-additional-provider-relief) From Wednesday, February 24 to Wednesday, March 10, practices with fewer than 20 employees will... 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