Reasonable Time Limitations on Post-Payment Audits and Recoupments by Third Party Payers H-70.926

Our AMA policy is that post-payment audits, post-payment downcodes and other similar requests for recoupment by third party payers be made within one year of the date the claim is submitted or within the same amount of time permitted for submission of the claim, whichever is less.

Policy Timeline

Res. 815, A-01 Reaffirmation I-04 Reaffirmation A-08 Reaffirmed in lieu of Res. 202, I-13 Reaffirmed: Res. 707, A-16