MassHealth has identified an editing issue that has resulted in overpayments for several providers. The issue has been corrected, and we are in the process of identifying affected claims for a Mass Adjustment to recoup the overpayments.
As a reminder, duplicate billing is forbidden according to MassHealth Billing Regulation 130 CMR 450.302: Unacceptable Billing Practices. Please refer to the All Provider Administrative and Billing Regulations at https://www.mass.gov/info-details/masshealth-provider-regulations for additional information.
If you have questions, please contract MassHealth at provider@masshealthquestions.com or (800) 841-2900.
Overpayments Resulting from Duplicate Claim Editing Issue