Tentative Notices of Overpayment
Recently, I have seen a huge increase in the number of overpayment notices from the state. The notices come from PCG, which is a state-contracted company. It’s amazing the amount that these notices claim is due back to the state. I’ve seen a claim for as high as $545,000. Obviously, these notices, if correct, would put most small health care providers out of business. Then Medicaid recipients would have no providers. I have been successful at appealing these notices. For one notice, I settled with the state for LESS than 1% of the claim. (Disclaimer: I do not promise these results!!). However, the important point is: you can fight these notices of overpayment. Hire a lawyer.