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{"DID":"crit15d1eb","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"07-27-2023 07:43","End Date":"07-28-2023 13:01","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, July 28, 2023, for staff training.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit2114dd","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"08-23-2023 10:46","End Date":"08-25-2023 13:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, August 25, 2023, for staff training.\n","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit32a323","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"06-14-2023 15:04","End Date":"06-16-2023 17:30","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed for an eight-hour staff training on Friday, June 16, 2023.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"yes"}, {"DID":"crit34c5e3","Sites":"JJA^JJB^JMA^JMB^JMHHH^Railroad Medicare","Start Date":"03-24-2023 08:40","End Date":"03-26-2023 12:00","Content":"eServices eAudit data is currently unavailable. We are working to resolve this issue and will remove this message when functionality is restored.","URL":"","Target":"_self","Color":"yellow","Mode":"Standard\n","Priority":"no"}, {"DID":"crit4334e1","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"07-11-2023 15:05","End Date":"07-14-2023 13:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, July 14, 2023, for staff training.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit44c243","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"11-16-2023 14:38","End Date":"11-24-2023 18:00","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed November 23 and 24, 2023, in observance of the Thanksgiving holiday.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"yes"}, {"DID":"crit5b243c","Sites":"JJA^JJB","Start Date":"08-12-2022 13:00","End Date":"08-31-2022 08:18","Content":"Have a Medicare question and want to chat with a rep? JJ providers are invited to join us on webchat. Just select the green Chat Now button on the bottom right corner of screen! ","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crita42d51","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"08-31-2023 15:00","End Date":"09-04-2023 17:00","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed Monday, September 4, 2023, in observance of Labor Day.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crita54bdb","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"05-24-2023 13:47","End Date":"05-29-2023 18:00","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed Monday, May 29, 2023, in observance of Memorial Day.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"yes"}, {"DID":"crita5c5ba","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"11-08-2023 10:22","End Date":"11-10-2023 22:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed for an 8-hour training on Veterans Day, Friday, November 10, 2023.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"yes"}, {"DID":"critbca1cd","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"11-28-2023 13:50","End Date":"11-28-2023 20:18","Content":"The Provider Contact Center (PCC) has closed for today, November 28, 2023, due to technical issues. The PCC will resume taking calls tomorrow during normal business hours. We apologize for the inconvenience and appreciate your patience. ","URL":"","Target":null,"Color":"red","Mode":"Standard\n","Priority":"yes"}, {"DID":"critce3553","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"09-13-2023 13:16","End Date":"09-15-2023 12:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, September 15, 2023, for staff training","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critd1a1c4","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"06-29-2023 09:58","End Date":"07-04-2023 17:30","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed Tuesday, July 4, 2023, in observance of Independence Day.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critd33c3a","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"11-28-2023 13:50","End Date":"12-01-2023 13:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, December 1, 2023, for staff training.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critdbc2e4","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"10-05-2023 13:16","End Date":"10-09-2023 17:30","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed for an 8-hour training on Columbus Day, Monday, October 9, 2023.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"criteeda42","Sites":"JJA^JJB","Start Date":"11-01-2023 07:00","End Date":"11-28-2023 10:00","Content":"Have a Medicare question and want to chat with a rep? JJ providers are invited to join us on webchat. Just click the green Chat Now button on the bottom right corner of your screen! ","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}

Affiliated Providers and the Recoupment Process

Published 01/04/2021

When an overpayment is determined and a demand letter is sent to the provider notifying them of the amount owed to the Medicare program, if payment is not received within the specified time period all payments to the provider are recouped until the overpayment is collected. Recoupment of payments can also be made from "affiliated providers."

What Is an Affiliated Provider?
An affiliated provider is a provider that shares the same Tax Identification Number (TIN) and/or is part of a Hospital Group (i.e., sub-units).

CMS has the authority to adjust payments to related providers and suppliers on the basis of their tax ID number. Rules allow CMS to hold providers and suppliers with the same tax ID number, regardless of their billing number or NPI number, liable for the debts of "affiliated providers." CMS may reduce funds due to related providers and suppliers as long as they share a federal tax identification number. For example, one hospital in a hospital chain may owe money but lack the funds to repay. CMS can collect from any other hospital in the chain or from the parent company as long as the tax ID number is the same.

Remittance Advice
On the Electronic Remittance Advice (ERA), a code of "OA" is used for Part A Affiliated Withholdings and a code of "OB" is used for Part B Affiliated Withholdings. The affiliated withholding amount is reported in the total withhold of the payment recap section on the Standard Paper Remittance (SPR). This amount is the PLB amount associated with PLB03-1 when equal to "E3" and PLB03-2 = "C"*.

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