All PlansAdministrativeMedium impact
Newsletter Vol. 22, No.11
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
New policy requires recovery of payments made for services rendered after a patient's date of death. Billing teams must implement verification processes to prevent billing for services provided post-mortem and establish procedures for refunding overpayments when discovered.
Action Required
Immediately: Billing team must implement verification process to check patient death dates before submitting claims. Update billing system to flag deceased patients and prevent post-death service billing. Establish procedure to identify and refund any payments received for services after patient death dates. Review recent claims for potential overpayments that need to be returned.