GN 04060.065 Exception to Sending Notice of Revision to Parties
Recovery of overpayments from a beneficiary who was without fault will be waived in
any case where the determination or decision that the services were noncovered was
made in the fourth calendar year after the year in which the intermediary or carrier
approved the payment. Where a revised determination or decision results in a finding
of overpayment for which the beneficiary would be liable but it appears that the conditions
for waiver described above are met, the intermediary or carrier does not send a notice of the revision to any party. Instead it refers the overpayment to
HCFA for consideration of the waiver issue.